PRIMARY RENAL MUCORMYCOSIS

Primary renal mucormycosis is a rare infection capable of acute illnes s with sepsis. Few cases have been reported. We report a case of an ac ute primary renal mucormycosis and review the published reports. The i ncidence of primary renal mucormycosis has risen in recent years. The most frequently reported underlying predisposing disorders are human i mmunodeficiency virus infection, intravenous drug abuse, and diabetes mellitus. Primary renal mucormycosis should be suspected in patients w ith an immunocompromising illness or particular risk factors, when per sistent flank pain and fever with sterile urine not responding to appr opriate antibiotics are associated with enlarged heterogeneous kidneys . (C) 1998, Elsevier Science Inc. All rights reserved.