Multi-route antifungal administration in the management of urinary
Amphotericin B
Hydronephrosis
Percutaneous nephrostomy tube
Urinary fungal bezoar
Journal
Urology case reports
ISSN: 2214-4420
Titre abrégé: Urol Case Rep
Pays: United States
ID NLM: 101626357
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
17
05
2020
accepted:
20
05
2020
entrez:
4
6
2020
pubmed:
4
6
2020
medline:
4
6
2020
Statut:
epublish
Résumé
A 65-year-old lady was admitted with urosepsis and imaging suggesting right sided hydronephrosis secondary to a filling defect consistent with a fungal bezoar. An indwelling urinary catheter and a right percutaneous nephrostomy tube were inserted. Candida glabrata cultured from urine was resistant to fluconazole. Amphotericin B was instilled into the renal pelvis via the nephrostomy tube while intravenous liposomal amphotericin was administered daily along with oral flucytosine. This multi-modal antifungal administration was continued for 14 days. Clinical and biochemical improvement was achieved and repeat imaging showed complete resolution of the filling defects and hydronephrosis.
Identifiants
pubmed: 32489899
doi: 10.1016/j.eucr.2020.101275
pii: S2214-4420(20)30163-7
pii: 101275
pmc: PMC7260667
doi:
Types de publication
Case Reports
Langues
eng
Pagination
101275Informations de copyright
© 2020 The Authors.
Déclaration de conflit d'intérêts
None to declare. Verbal and written consent was obtained from the patient in order to compile this case report.
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