Management of a renal fungal bezoar caused by multidrug-resistant Candida glabrata.

Autor: Berlanga, Gemma A., Machen, Graham L., Lowry, Patrick S., Brust, Karen B.
Zdroj: Baylor University Medical Center Proceedings; 2016, Vol. 29 Issue 4, p416-417, 2p
Abstrakt: We describe our management of an immunocompetent individual who developed obstructive uropathy and candidemia as a result of a fungal bezoar in the kidney. These sequelae arose from candiduria, provoked after several courses of antibiotics. Successful treatment included therapy with both culture-appropriate intravenous antifungals and operative intervention, including direct irrigation of the affected kidney with amphotericin B, relief of renal obstruction with a ureteral stent, a percutaneous neph-rostomy tube, and ultimately endoscopic removal of the fungal bezoar. Our patient was successfully treated as evidenced by negative urine culture and lack of ongoing symptomatology. [ABSTRACT FROM AUTHOR]
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