Intracranial hypertension: An unusual presentation of mucormycosis in a kidney transplant recipient

R Jha¹, D Gude², S Chennamsetty¹, H Kotari^3 
1 Department of Nephrology, Medwin Hospital, Nampally, Hyderabad, Andhra Pradesh, India
² Department of Internal Medicine, Medwin Hospital, Nampally, Hyderabad, Andhra Pradesh, India
³ Department of Microbiology, Medwin Hospital, Nampally, Hyderabad, Andhra Pradesh, India

Correspondence Address:
R Jha
Consultant Nephrologist, Medwin Hospitals, Chirag Ali Lane, Abids, Hyderabad 500 001, Andhra Pradesh
India

Idiopathic intracranial hypertension (IIH), once called pseudotumor cerebri, presents with nonspecific signs and symptoms of increased intracranial pressure and papilledema, and is associated with high risk of loss of vision. Zygomycosis is a rare but serious fungal infection seen occasionally among renal transplant recipients in the late transplant period with high mortality risk. Early diagnosis coupled with multidisciplinary care can salvage the patient from the risk of death. We present an unusual case of adult renal transplant recipient with IIH followed by rhinocerebral zygomycosis secondary to amplified immunosuppression that was managed successfully.