# 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.

## Key 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.

Image 1