Primary renal mucormycosis in a type 2 diabetic patient: A case report from Syria

TL;DR

A rare case of kidney fungal infection in a diabetic patient from Syria is reported, highlighting the challenges in diagnosis and treatment.

Contribution

This case report presents a rare instance of primary renal mucormycosis in a type 2 diabetic patient from Syria.

Findings

Primary unilateral renal mucormycosis triggered diabetic ketoacidosis in a type 2 diabetic patient.

The patient developed complications including bronchopleural fistula and a drug-resistant Klebsiella infection.

Treatment involved surgery, liposomal amphotericin B, and polymyxine E.

Abstract

Mucormycosis is an opportunistic fungal infection that primarily affects immunocompromised individuals and rarely presents as renal mucormycosis (RM). Diagnosis can be challenging for many physicians. We report a rare case of primary, unilateral RM which triggered diabetic ketoacidosis in a type 2 diabetic patient. The case was later complicated by a bronchopleural fistula and a meropenem-resistant Klebsiella infection. The patient was ultimately treated with surgical intervention, liposomal amphotericin B, and polymyxine E. Early diagnosis and timely treatment of this life-threatening disease and its complications are significant in reducing mortality.

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