DISSEMINATED HISTOPLASMOSIS PRESENTING AS URINARY-TRACT OBSTRUCTION IN A RENAL-TRANSPLANT RECIPIENT

被引:16
作者
SUPERDOCK, KR
DUMMER, JS
KOCH, MO
GILLIAM, DM
VANBUREN, DH
NYLANDER, WA
RICHIE, RE
MACDONELL, RC
JOHNSON, HK
HELDERMAN, JH
机构
[1] VANDERBILT UNIV,MED CTR,DEPT MED,NASHVILLE,TN
[2] VANDERBILT UNIV,MED CTR,DEPT SURG,NASHVILLE,TN
[3] VANDERBILT UNIV,MED CTR,DEPT PEDIAT,NASHVILLE,TN 37232
[4] VANDERBILT UNIV,MED CTR,DEPT PATHOL,NASHVILLE,TN 37232
关键词
RENAL TRANSPLANTATION; HISTOPLASMOSIS; PAPILLARY NECROSIS; URINARY TRACT OBSTRUCTION;
D O I
10.1016/S0272-6386(12)80386-6
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Disseminated histoplasmosis occasionally involves the kidney, but the infection usually does not cause either urinary symptoms or a decrease in renal function. We present a case of disseminated histoplasmosis in a renal transplant recipient who presented with urinary obstruction in the allograft from a sloughed renal papilla infected with the fungus. At the same time the patient had chronic meningitis from Histoplasma capsulatum. The literature on renal involvement with histoplasmosis is reviewed. © 1994, National Kidney Foundation. All rights reserved. All rights reserved.
引用
收藏
页码:600 / 604
页数:5
相关论文
共 17 条
[1]   COMPUTED-TOMOGRAPHY OF URETERAL OBSTRUCTION [J].
BOSNIAK, MA ;
MEGIBOW, AJ ;
AMBOS, MA ;
MITNICK, JS ;
LEFLEUR, RS ;
GORDON, R .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1982, 138 (06) :1107-1113
[2]   DISSEMINATED HISTOPLASMOSIS IN RENAL-TRANSPLANT RECIPIENTS [J].
DAVIES, SF ;
SAROSI, GA ;
PETERSON, PK ;
KHAN, M ;
HOWARD, RJ ;
SIMMONS, RL ;
NAJARIAN, JS .
AMERICAN JOURNAL OF SURGERY, 1979, 137 (05) :686-691
[3]   HISTOPLASMA VARIATION AND ADAPTIVE STRATEGIES FOR PARASITISM - NEW PERSPECTIVES ON HISTOPLASMOSIS [J].
EISSENBERG, LG ;
GOLDMAN, WE .
CLINICAL MICROBIOLOGY REVIEWS, 1991, 4 (04) :411-421
[4]   DISSEMINATED HISTOPLASMOSIS - CLINICAL AND PATHOLOGIC CORRELATIONS [J].
GOODWIN, RA ;
SHAPIRO, JL ;
THURMAN, GH ;
THURMAN, SS ;
DESPREZ, RM .
MEDICINE, 1980, 59 (01) :1-33
[5]  
HOOD AB, 1965, CAN MED ASSOC J, V93, P587
[6]  
HUTTON JP, 1985, ARCH PATHOL LAB MED, V109, P330
[7]   HISTOPLASMOSIS IN IMMUNOSUPPRESSED PATIENTS [J].
KAUFFMAN, CA ;
ISRAEL, KS ;
SMITH, JW ;
WHITE, AC ;
SCHWARZ, J ;
BROOKS, GF .
AMERICAN JOURNAL OF MEDICINE, 1978, 64 (06) :923-932
[8]   HISTOPLASMOSIS IN PATIENTS AT RISK FOR THE ACQUIRED IMMUNODEFICIENCY SYNDROME IN A NONENDEMIC SETTING [J].
SALZMAN, SH ;
SMITH, RL ;
ARANDA, CP .
CHEST, 1988, 93 (05) :916-921
[9]   DISSEMINATED HISTOPLASMOSIS IN A RENAL-TRANSPLANT PATIENT - A CAUSE OF RENAL-FAILURE SEVERAL YEARS FOLLOWING TRANSPLANTATION [J].
SRIDHAR, NR ;
TCHERVENKOV, JI ;
WEISS, MA ;
HIJAZI, YM ;
FIRST, MR .
AMERICAN JOURNAL OF KIDNEY DISEASES, 1991, 17 (06) :719-721
[10]  
WALKER JV, JAMA-J AM MED ASSOC, V237, P1350