A Case of Candida Parapsilosis Fungal Balls in the Urinary Tract Associated with a Retrocaval Ureter

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  • 下大静脈後尿管に発症したCandida parapsilosis による尿路真菌球症の1例
  • シタ ダイ ジョウミャク ゴ ニョウカン ニ ハッショウ シタ Candida parapsilosis ニ ヨル ニョウロ シンキンキュウショウ ノ 1レイ

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Description

A 70-year-old man with a medical history of diabetes mellitus presented to a local clinic with seven days history of right flank pain and fever. Because there was no symptomatic improvement after one-week antibiotic administration, abdominal ultrasonography and computed tomographic scans were performed to show mass lesions in the right hydropelvis, and he was transferred to our hospital. Retrograde pyelography revealed a retrocaval ureter and a ureteral stent was indwelt. After the symptoms improved, the lesions were removed by percutaneous nephrostomy and fungal balls were diagnosed as Candida parapsilosis after culture. After intermittent one-week irrigation of the renal pelvis with normal saline, the nephrostomy tube was removed. In six-month follow-up, mild hydronephrosis remains without fungal ball recurrence. To the best our knowledge, there has been no case report of Candida parapsilosis fungal balls in the urinary tract.

Journal

  • Hinyokika Kiyo

    Hinyokika Kiyo 56 (8), 443-445, 2010-08

    泌尿器科紀要刊行会

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