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  • Title: Isolated renal Aspergillus abscess in an AIDS patient with a normal CD4+ cell count on highly active antiretroviral therapy.
    Author: Rey D, de Mautort E, Saussine C, Hansmann Y, Waller J, Herbrecht R, Christmann D, Lindner V, Letscher-Bru V, Koenig H, Lang JM.
    Journal: Eur J Clin Microbiol Infect Dis; 1999 Feb; 18(2):137-41. PubMed ID: 10219579.
    Abstract:
    Isolated renal Aspergillus abscess is a very rare complication of HIV infection. It usually occurs in patients with severe immune deficiency. The case of a 29-year-old HIV-infected homosexual male, a nonintravenous drug abuser, who developed a right renal Aspergillus abscess despite normalization of the CD4+ cell count after highly active antiretroviral treatment is described. When antimicrobial treatment failed (amphotericin B followed by itraconazole), he was cured by right nephrectomy and remains in good health 3 months later with no recurrence. In cases of Aspergillus renal abscess in HIV-infected patients, surgery is the treatment of choice, especially in the current era of highly active antiretroviral therapy.
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