{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T04:59:10Z","timestamp":1774933150225,"version":"3.50.1"},"reference-count":5,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,10,13]]},"abstract":"<jats:p>Idiopathic CD4 lymphocytopenia (ICL) is characterised by a low CD4 +lymphocyte\u2009count in the absence of HIV or other underlying aetiologies. We report a case of a 17-year-old girl with ICL with autoimmune hepatitis who developed isolated renal mucormycosis, which, to our knowledge, is the first reported case described in literature. Combination therapy with antifungals and surgical resection was done, and the patient improved. This case report illustrates the importance of timely multidisciplinary approach to recognise this highly fatal disease at an early stage.<\/jats:p>","DOI":"10.1136\/bcr-2018-225234","type":"journal-article","created":{"date-parts":[[2018,11,9]],"date-time":"2018-11-09T02:25:34Z","timestamp":1541730334000},"page":"bcr-2018-225234","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Isolated renal mucormycosis in a patient with Idiopathic CD4 lymphocytopenia"],"prefix":"10.1136","volume":"2018","author":[{"given":"Jasmine","family":"Sethi","sequence":"first","affiliation":[{"name":"Department of Nephrology, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raja","family":"Ramachandran","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harbir Singh","family":"Kohli","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krishan Lal","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,11,8]]},"reference":[{"key":"2025082702361531000_2018.nov08_1.bcr-2018-225234.1","doi-asserted-by":"crossref","first-page":"501","DOI":"10.2500\/aap.2016.37.3992","article-title":"Idiopathic CD4 lymphocytopenia","volume":"37","author":"Brooks","year":"2016","journal-title":"Allergy Asthma Proc"},{"key":"2025082702361531000_2018.nov08_1.bcr-2018-225234.2","doi-asserted-by":"publisher","DOI":"10.4103\/2231-0770.114121"},{"key":"2025082702361531000_2018.nov08_1.bcr-2018-225234.3","doi-asserted-by":"publisher","DOI":"10.1053\/jinf.2001.0831"},{"key":"2025082702361531000_2018.nov08_1.bcr-2018-225234.4","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/11.5.741"},{"key":"2025082702361531000_2018.nov08_1.bcr-2018-225234.5","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/14.11.2720"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-225234","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:36:21Z","timestamp":1756287381000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-225234"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11,8]]},"references-count":5,"alternative-id":["10.1136\/bcr-2018-225234"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-225234","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11,8]]}}}