Fungal Bezoar: A Rare Cause of Ureteral Obstruction
Joint Authors
Mansour, Wissam
Zeineddine, Nabil
El Bitar, Sandy
Campitelli, Marco
Mobarakai, Neville
Source
Case Reports in Infectious Diseases
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-07-19
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
A 52-year-old male, with diabetes mellitus and alcoholic liver disease, presented to the Emergency Room for right flank pain of 3 days’ duration, associated with dysuria.
Physical examination revealed right flank tenderness with fever and hypotension; laboratory findings showed acute kidney injury and large blood and leucocytes in the urine.
A CT abdomen and pelvis showed hydronephrosis of the right collecting system of a horseshoe kidney with air and hyperdense debris in the renal pelvis.
Patient was treated for multisensitive Proteus mirabilis emphysematous pyelonephritis, and a right nephrostomy tube was inserted.
Symptoms recurred in 4 weeks, and repeated urine culture grew Candida albicans and CT scan showed same high density material within the right moiety of the horseshoe kidney.
Patient underwent ureteroscopy, and a white fluffy material was aspirated from the right renal pelvis.
Pathology of the aspirate confirmed the presence of fungal balls.
Patient was given 2 weeks of oral fluconazole.
Fungal pyelonephritis is unusual and difficult to treat.
Candida species is responsible for the clear majority of the cases.
A fungus ball should be managed with surgical and medical therapy.
This patient had an endoscopic procedure to remove the fungus ball and received fluconazole.
His symptoms resolved and urine culture was done before termination of the treatment was negative.
American Psychological Association (APA)
Zeineddine, Nabil& Mansour, Wissam& El Bitar, Sandy& Campitelli, Marco& Mobarakai, Neville. 2017. Fungal Bezoar: A Rare Cause of Ureteral Obstruction. Case Reports in Infectious Diseases،Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1146395
Modern Language Association (MLA)
Zeineddine, Nabil…[et al.]. Fungal Bezoar: A Rare Cause of Ureteral Obstruction. Case Reports in Infectious Diseases No. 2017 (2017), pp.1-3.
https://search.emarefa.net/detail/BIM-1146395
American Medical Association (AMA)
Zeineddine, Nabil& Mansour, Wissam& El Bitar, Sandy& Campitelli, Marco& Mobarakai, Neville. Fungal Bezoar: A Rare Cause of Ureteral Obstruction. Case Reports in Infectious Diseases. 2017. Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1146395
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146395