Sarcouncil Journal of Medical Series

Abstract: The following case describes a 49 year old gentleman who developed COVID-19 infection and was treated with injectable steroids. Two months after the infection he developed bilateral hydroureteronephrosis and renal failure. On evaluation, it was detected that he has bilateral ureteric strictures. Despite bilateral DJ stenting his renal failure persisted and the hydroureteronephrosis recurred after removal of stents require restenting on the left and PCN placement on the right side. Since his renal failure persisted, DTPA scan done showed non functioning right kidney. Right nephrectomy was subsequently done and it showed Mucormycosis on histology. He was subsequently treated with liposomal amphotericin B, however his constitutional symptoms persisted. A FDG-PET did not show FDG uptake elsewhere except the left kidney. Subsequently he underwent left nephrectomy, which too showed mucormycosis on histopathology. Posaconazole was continued for another 3 months. Patient is doing well symptomatically, with no fever and has gained weight. He is being worked up for a renal transplant.