On be\u015f y\u0131ld\u0131r tip 2 diabetes mellitus \u00f6yk\u00fcs\u00fc olan 56 ya\u015f\u0131ndaki erkek, son 2 ayd\u0131r devam eden sol yan a\u011fr\u0131s\u0131, son 3 ayda 10 kilo kadar kilo kayb\u0131 ve 1 ayd\u0131r zaman zaman 38\u00b0C\u2019yi ge\u00e7en ate\u015f ataklar\u0131yla ba\u015fvurdu. Hastan\u0131n tam kan say\u0131m\u0131 ve biyokimyasal testleri normal olarak saptan\u0131rken C-reaktif protein (CRP) de\u011feri 158 mg\/lt olarak izlendi. \u0130drar ve kan k\u00fclt\u00fcrlerinde mikroorganizma saptanmad\u0131. Abdominopelvik bilgisayarl\u0131 tomografide (BT) sol b\u00f6brekte kistik bir kitle tespit edildi. Kist hidatik y\u00f6n\u00fcnden indirekt hemagl\u00fctinasyon testi negatif bulundu. B\u00f6brekteki lezyon, olas\u0131 malignite riski nedeniyle subkostal \u201cchevron\u201d kesiyle sol radikal nefrektomi yap\u0131larak eksize edildi. \u0130ntraoperatif olarak b\u00f6bre\u011fin anterior k\u0131sm\u0131ndaki t\u00fcm\u00f6r oldu\u011fu d\u00fc\u015f\u00fcn\u00fclen lezyon i\u00e7erisinden p\u00fcr\u00fclan s\u0131v\u0131 drene oldu. B\u00f6brek dokusunda histopatolojik olarak ksantogran\u00fclomat\u00f6z pyelonefritle birlikte hematoksilen eozin boyamas\u0131nda dallanma g\u00f6steren ve septumlar\u0131 olan hifler izlendi. Nekrotik materyalde lateks agl\u00fctinasyon y\u00f6ntemiyle galaktomannan antijeni saptand\u0131. K\u00fclt\u00fcrde Aspergillus fumigatus \u00fcremesi \u00fczerine renal aspergilloz tan\u0131s\u0131 kesinle\u015ftirildi. Tarama amac\u0131yla \u00e7ekilen toraks ve kraniyal BT\u2019de, ekokardiyografide ve yap\u0131lan oftalmoskopik de\u011ferlendirmede ba\u015fka lezyon saptanmad\u0131. Hastaya 6 hafta s\u00fcreyle 2×100 mg oral itrakonazol tedavisi ba\u015fland\u0131. Tedavi sonunda CRP normal olarak saptan\u0131rken, kontrol BT\u2019de patolojik bulguya rastlanmad\u0131. Sonu\u00e7 olarak imm\u00fcn yetmezli\u011fi olan veya diabetes mellitus gibi komorbiditeleri olan hastalarda renal kitle saptand\u0131\u011f\u0131nda fungal infeksiyonlar ve \u00f6zellikle de aspergilloz akla gelmelidir.\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00d6zet On be\u015f y\u0131ld\u0131r tip 2 diabetes mellitus \u00f6yk\u00fcs\u00fc olan 56 ya\u015f\u0131ndaki erkek, son 2 ayd\u0131r devam eden sol yan a\u011fr\u0131s\u0131, son 3 ayda 10 kilo kadar kilo kayb\u0131 ve 1 ayd\u0131r zaman zaman 38\u00b0C\u2019yi ge\u00e7en ate\u015f ataklar\u0131yla ba\u015fvurdu. Hastan\u0131n tam kan say\u0131m\u0131 ve biyokimyasal testleri normal olarak saptan\u0131rken C-reaktif protein (CRP) de\u011feri 158 mg\/lt […]<\/p>\n","protected":false},"author":0,"featured_media":0,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5131],"tags":[4430,4432],"class_list":["post-15551","post","type-post","status-publish","format-standard","hentry","category-olgu-sunumu","tag-aspergilloz","tag-renal-hucreli-karsinom"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15551","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/comments?post=15551"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15551\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=15551"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=15551"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=15551"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}