A Rare Case of Urinary Tract Fungal Ball Leading to Fungemia and Bilateral Chorioretinitis.


Journal

Case reports in urology
ISSN: 2090-696X
Titre abrégé: Case Rep Urol
Pays: United States
ID NLM: 101580193

Informations de publication

Date de publication:
2020
Historique:
received: 20 04 2020
revised: 10 09 2020
accepted: 16 09 2020
entrez: 16 10 2020
pubmed: 17 10 2020
medline: 17 10 2020
Statut: epublish

Résumé

Fungemia due to obstructive urinary tract fungal ball is exceedingly rare. These patients often have multiple predisposing conditions, including diabetes or antimicrobial exposure. While candiduria can be relatively common in this population, urinary tract fungal balls are a rare entity. Hospitalists should be aware of this rare complication in patients presenting with funguria. Special multidisciplinary management is required in the treatment of urinary tract fungal balls with subsequent fungemia, including nephrostomy tubes, antifungal irrigation, ureterorenoscopy, and more powerful antifungals such as amphotericin B and 5-flucytosine. This management draws from a myriad of specialties, including urology, infectious disease, and interventional radiology. Additionally, the literature has demonstrated that only approximately half of patients with fungemia receive an ophthalmologic evaluation. Ophthalmologic and urologic cooperation is essential in the case of obstructive uropathy leading to fungemia as the obstructive uropathy must be relieved and these patients should receive a dilated fundus exam.

Sections du résumé

BACKGROUND BACKGROUND
Fungemia due to obstructive urinary tract fungal ball is exceedingly rare. These patients often have multiple predisposing conditions, including diabetes or antimicrobial exposure. While candiduria can be relatively common in this population, urinary tract fungal balls are a rare entity. Hospitalists should be aware of this rare complication in patients presenting with funguria.
CONCLUSIONS CONCLUSIONS
Special multidisciplinary management is required in the treatment of urinary tract fungal balls with subsequent fungemia, including nephrostomy tubes, antifungal irrigation, ureterorenoscopy, and more powerful antifungals such as amphotericin B and 5-flucytosine. This management draws from a myriad of specialties, including urology, infectious disease, and interventional radiology. Additionally, the literature has demonstrated that only approximately half of patients with fungemia receive an ophthalmologic evaluation. Ophthalmologic and urologic cooperation is essential in the case of obstructive uropathy leading to fungemia as the obstructive uropathy must be relieved and these patients should receive a dilated fundus exam.

Identifiants

pubmed: 33062372
doi: 10.1155/2020/8828289
pmc: PMC7539112
doi:

Types de publication

Case Reports

Langues

eng

Pagination

8828289

Informations de copyright

Copyright © 2020 Christopher Ferari et al.

Déclaration de conflit d'intérêts

All authors declare that they have no conflicts of interest.

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Auteurs

Christopher Ferari (C)

Department of Urology, West Virginia University School of Medicine, Morgantown, WV 26505, USA.

Chad Crigger (C)

Department of Urology, West Virginia University School of Medicine, Morgantown, WV 26505, USA.

Chad Morley (C)

Department of Urology, West Virginia University School of Medicine, Morgantown, WV 26505, USA.

Classifications MeSH