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  • Title: Renal aspergilloma presenting with pelvi-ureteric junction Obstruction (PUJO).
    Author: Ullah SR, Jamshaid A, Zaidi SZ.
    Journal: J Pak Med Assoc; 2016 Jul; 66(7):903-4. PubMed ID: 27427147.
    Abstract:
    Primary renal aspergillosis, though a rare entity, is still seen in immune compromised individuals. Renal aspergillosis may lead to formation of focal abscesses, fungal bezoars and may cause ureteric obstruction. Treatment involves stabilization of patient and removal of fungal bezoars along with administration of anti-fungal agents. This report describes the case of localized primary renal aspergillosis with fungal bezoars formation in a 55 years old female, diabetic, hypertensive, who presented with upper urinary tract obstruction and was successfully managed by endoscopic removal of fungal bezoars and intravenous amphotericin followed by oral itraconazole.
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