Cargando…

Renal aspergillosis after COVID‐19‐associated pulmonary aspergillosis: A case report

KEY CLINICAL MESSAGE: Renal aspergillosis is a rare condition and this case the first case of Renal aspergillosis reported after COVID‐19‐associated pulmonary aspergillosis. Renal symptoms should arise clinical suspicion to renal involvement that happened as a result of hematogenous spreading of pul...

Descripción completa

Detalles Bibliográficos
Autores principales: Ghasemian, Roya, Vahedi Larijani, Lale, Rasouli, Kimia, Hedayati, Mohammad Taghi, Tavakol, Chanour, Heydari, Keyvan, Zalpoor, Hamidreza, Hoseini, Aref
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10485246/
https://www.ncbi.nlm.nih.gov/pubmed/37692155
http://dx.doi.org/10.1002/ccr3.7882
_version_ 1785102742218342400
author Ghasemian, Roya
Vahedi Larijani, Lale
Rasouli, Kimia
Hedayati, Mohammad Taghi
Tavakol, Chanour
Heydari, Keyvan
Zalpoor, Hamidreza
Hoseini, Aref
author_facet Ghasemian, Roya
Vahedi Larijani, Lale
Rasouli, Kimia
Hedayati, Mohammad Taghi
Tavakol, Chanour
Heydari, Keyvan
Zalpoor, Hamidreza
Hoseini, Aref
author_sort Ghasemian, Roya
collection PubMed
description KEY CLINICAL MESSAGE: Renal aspergillosis is a rare condition and this case the first case of Renal aspergillosis reported after COVID‐19‐associated pulmonary aspergillosis. Renal symptoms should arise clinical suspicion to renal involvement that happened as a result of hematogenous spreading of pulmonary aspergillosis. ABSTRACT: Secondary fungal infections are among the most significant complications that can arise after COVID‐19 and have the potential to lead to a high rate of morbidity and mortality. As COVID‐19 primarily involves the airway, the majority of fungal infections reported have been related to the respiratory system. However, renal aspergillosis that we have reported is a rare condition that also can occur. A 67‐year‐old man was referred to our hospital and admitted as a COVID‐19 patient. After the initial recovery, he experienced a recurrence of fever accompanied by a productive cough. The histopathological studies were conducted on the sputum and bronchoalveolar lavage samples, which revealed the presence of Aspergillus flavus. We treated the patient with voriconazole and the patient was discharged after a period of time. However, after approximately 6 months, he returned to the hospital with a fever and abdominal pain. We started a fever workup. Two new hypoechoic abscess‐like masses were spotted in the right kidney in the ultrasonography (U/S) and the direct molecular studies of the biopsy sample obtained under U/S guidance identified Aspergillus flavus. Although renal aspergillosis is a rare condition, it should not be overlooked, especially in patients with severe COVID‐19 and pulmonary aspergillosis, as these conditions can lead to renal aspergillosis, which may present with symptoms such as abdominal pain with fever. Therefore, it is necessary to perform radiological and histopathological studies when renal aspergillosis is suspected.
format Online
Article
Text
id pubmed-10485246
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-104852462023-09-09 Renal aspergillosis after COVID‐19‐associated pulmonary aspergillosis: A case report Ghasemian, Roya Vahedi Larijani, Lale Rasouli, Kimia Hedayati, Mohammad Taghi Tavakol, Chanour Heydari, Keyvan Zalpoor, Hamidreza Hoseini, Aref Clin Case Rep Case Report KEY CLINICAL MESSAGE: Renal aspergillosis is a rare condition and this case the first case of Renal aspergillosis reported after COVID‐19‐associated pulmonary aspergillosis. Renal symptoms should arise clinical suspicion to renal involvement that happened as a result of hematogenous spreading of pulmonary aspergillosis. ABSTRACT: Secondary fungal infections are among the most significant complications that can arise after COVID‐19 and have the potential to lead to a high rate of morbidity and mortality. As COVID‐19 primarily involves the airway, the majority of fungal infections reported have been related to the respiratory system. However, renal aspergillosis that we have reported is a rare condition that also can occur. A 67‐year‐old man was referred to our hospital and admitted as a COVID‐19 patient. After the initial recovery, he experienced a recurrence of fever accompanied by a productive cough. The histopathological studies were conducted on the sputum and bronchoalveolar lavage samples, which revealed the presence of Aspergillus flavus. We treated the patient with voriconazole and the patient was discharged after a period of time. However, after approximately 6 months, he returned to the hospital with a fever and abdominal pain. We started a fever workup. Two new hypoechoic abscess‐like masses were spotted in the right kidney in the ultrasonography (U/S) and the direct molecular studies of the biopsy sample obtained under U/S guidance identified Aspergillus flavus. Although renal aspergillosis is a rare condition, it should not be overlooked, especially in patients with severe COVID‐19 and pulmonary aspergillosis, as these conditions can lead to renal aspergillosis, which may present with symptoms such as abdominal pain with fever. Therefore, it is necessary to perform radiological and histopathological studies when renal aspergillosis is suspected. John Wiley and Sons Inc. 2023-09-07 /pmc/articles/PMC10485246/ /pubmed/37692155 http://dx.doi.org/10.1002/ccr3.7882 Text en © 2023 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ghasemian, Roya
Vahedi Larijani, Lale
Rasouli, Kimia
Hedayati, Mohammad Taghi
Tavakol, Chanour
Heydari, Keyvan
Zalpoor, Hamidreza
Hoseini, Aref
Renal aspergillosis after COVID‐19‐associated pulmonary aspergillosis: A case report
title Renal aspergillosis after COVID‐19‐associated pulmonary aspergillosis: A case report
title_full Renal aspergillosis after COVID‐19‐associated pulmonary aspergillosis: A case report
title_fullStr Renal aspergillosis after COVID‐19‐associated pulmonary aspergillosis: A case report
title_full_unstemmed Renal aspergillosis after COVID‐19‐associated pulmonary aspergillosis: A case report
title_short Renal aspergillosis after COVID‐19‐associated pulmonary aspergillosis: A case report
title_sort renal aspergillosis after covid‐19‐associated pulmonary aspergillosis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10485246/
https://www.ncbi.nlm.nih.gov/pubmed/37692155
http://dx.doi.org/10.1002/ccr3.7882
work_keys_str_mv AT ghasemianroya renalaspergillosisaftercovid19associatedpulmonaryaspergillosisacasereport
AT vahedilarijanilale renalaspergillosisaftercovid19associatedpulmonaryaspergillosisacasereport
AT rasoulikimia renalaspergillosisaftercovid19associatedpulmonaryaspergillosisacasereport
AT hedayatimohammadtaghi renalaspergillosisaftercovid19associatedpulmonaryaspergillosisacasereport
AT tavakolchanour renalaspergillosisaftercovid19associatedpulmonaryaspergillosisacasereport
AT heydarikeyvan renalaspergillosisaftercovid19associatedpulmonaryaspergillosisacasereport
AT zalpoorhamidreza renalaspergillosisaftercovid19associatedpulmonaryaspergillosisacasereport
AT hoseiniaref renalaspergillosisaftercovid19associatedpulmonaryaspergillosisacasereport