Primary renal candidiasis: importance of imaging and clinical history in diagnosis and management
| Autor: | Anil Khosla, Andrew C. Wilbur, Ejaz Shamim, Bhargavi K. Patel, Barry Sadegi |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Radiography Papillary necrosis Clinical history Biopsy medicine Humans Radiology Nuclear Medicine and imaging Abscess Radiological and Ultrasound Technology medicine.diagnostic_test business.industry Candidiasis Echogenicity medicine.disease Surgery Treatment Outcome Female Kidney Diseases Radiology Renal candidiasis business Pyelogram |
| Zdroj: | Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine. 28(4) |
| ISSN: | 1550-9613 |
| Popis: | Objective. Primary renal candidiasis is rare but increasing in incidence. The purpose of this series is to provide imaging and clinical findings for diagnosing candidiasis and to discuss imaging in the management of this disease. Methods. Ten sonographic, 8 retrograde pyelographic, 2 intravenous pyelographic, 2 antegrade pyelographic, and 2 computed tomographic examinations of 5 patients (4 adult male patients and 1 16-year-old female patient) were reviewed. Results. The clinical presentation was variable. Sonography showed renal pelvic wall thickening (n = 5), echogenic debris (n = 4), and fungus balls (n = 2). Papillary necrosis (n = 4), filling defects due to debris (n = 3), and fungus balls (n = 2) were seen on retrograde pyelography. Conclusions. Untreated candidiasis may progress to fungus ball or abscess formation. Sonography is commonly used as the initial imaging procedure. Retrograde and antegrade pyelography are used for biopsy, diagnosis, and treatment. Awareness of this condition and knowledgeable imaging evaluation can help detect and define the site, infection severity, and subsequent therapy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text