{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T09:30:50Z","timestamp":1769851850639,"version":"3.49.0"},"reference-count":9,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,2,28]]},"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:p>Mucormycosis is an acute, life-threatening infection and isolated renal involvement is rare. Due to the angioinvasive nature of the disease, it is rapidly progressive and can be lethal if not managed expeditiously. In patients with underlying conditions of immunosuppression, diabetes mellitus, transplantation, COVID-19, intravenous drug and substance use and pyelonephritis, which is unable to be controlled via regular antibiotics, mucormycosis must be considered on the differential and antifungals must be empirically started. Most cases are often diagnosed on histopathology, which causes delayed treatment and resolution. We present a case of emphysematous pyelonephritis diagnosed on imaging and was later found to have mucormycosis on histopathological examination.<\/jats:p>","DOI":"10.1136\/bcr-2022-254501","type":"journal-article","created":{"date-parts":[[2023,3,19]],"date-time":"2023-03-19T03:46:40Z","timestamp":1679197600000},"page":"e254501","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Isolated renal mucormycosis masquerading as emphysematous pyelonephritis"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7486-0829","authenticated-orcid":false,"given":"Supradeep","family":"Narayanaswamy","sequence":"first","affiliation":[{"name":"Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0558-0596","authenticated-orcid":false,"given":"Rajvi","family":"Goradia","sequence":"additional","affiliation":[{"name":"Urology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amit","family":"Bellurkar","sequence":"additional","affiliation":[{"name":"Urology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sujata","family":"Patwardhan","sequence":"additional","affiliation":[{"name":"Urology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,3,17]]},"reference":[{"key":"2025082712304317000_16.3.e254501.1","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1007\/s11046-010-9329-y","article-title":"Can ascending infection from bladder serve as the portal of entry for primary renal zygomycosis?","volume":"170","author":"Gupta","year":"2010","journal-title":"Mycopathologia"},{"key":"2025082712304317000_16.3.e254501.2","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2013-009577","article-title":"Successful treatment of disseminated mucormycosis in a neutropenic patient with T-cell acute lymphoblastic leukaemia","volume":"2013","author":"Guymer","year":"2013","journal-title":"BMJ Case Rep"},{"key":"2025082712304317000_16.3.e254501.3","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.18.3.556-569.2005"},{"key":"2025082712304317000_16.3.e254501.4","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1111\/j.1755-9294.2011.01102.x","article-title":"Renal mucormycosis in immunocompetent patients: report of three cases","volume":"4","author":"Verma","year":"2011","journal-title":"Basic and Applied Pathology"},{"key":"2025082712304317000_16.3.e254501.5","doi-asserted-by":"crossref","DOI":"10.4103\/0971-4065.34827","article-title":"Fungal infections and the kidney","volume":"11","year":"2001","journal-title":"Indian J Nephrol"},{"key":"2025082712304317000_16.3.e254501.6","doi-asserted-by":"publisher","DOI":"10.1007\/s11908-010-0129-9"},{"key":"2025082712304317000_16.3.e254501.7","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1016\/j.jinf.2018.01.010","article-title":"Infectious risks associated with medicinal cannabis: potential implications for immunocompromised patients?","volume":"76","author":"McHardy","year":"2018","journal-title":"J Infect"},{"key":"2025082712304317000_16.3.e254501.8","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/11.5.741"},{"key":"2025082712304317000_16.3.e254501.9","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(98)00287-8"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-254501","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:30:47Z","timestamp":1756323047000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-254501"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3]]},"references-count":9,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,3,17]]},"published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1136\/bcr-2022-254501"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-254501","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3]]}}}