[Urinary tract infection caused by Candida while using an SGLT-2 inhibitor].

Urineweginfectie door Candida bij gebruik SGLT2-remmer.

Journal

Nederlands tijdschrift voor geneeskunde
ISSN: 1876-8784
Titre abrégé: Ned Tijdschr Geneeskd
Pays: Netherlands
ID NLM: 0400770

Informations de publication

Date de publication:
22 08 2023
Historique:
medline: 24 8 2023
pubmed: 23 8 2023
entrez: 23 8 2023
Statut: epublish

Résumé

Sodium glucose transporter 2 (SGLT-2) inhibitors are a relatively new group of antidiabetic drugs. The renal glucose reabsorption is blocked resulting in higher glucose levels in the urine (glucosuria). Recently studies are being conducted into the medications nephrological and cardiovascular potential. As a result, we may expect that SGLT-2 inhibitors will be more and more frequently prescribed. Thus, physicians of any specialty may come into contact with patients that are using this drug. We describe a case of a male patient who developed a urinary tract infection with Candida glabrata while using a SGLT-2 inhibitor. After discontinuing the SGLT-2 inhibitor, the infection subsided. Urinary tract infections from Candida are rarely seen in healthy individuals. Glucosuria is a known risk factor for fungal genital infections. More research is needed to determine whether SGLT-2 inhibitors increase the risk of fungal urinary tract infections.

Sections du résumé

BACKGROUND
Sodium glucose transporter 2 (SGLT-2) inhibitors are a relatively new group of antidiabetic drugs. The renal glucose reabsorption is blocked resulting in higher glucose levels in the urine (glucosuria). Recently studies are being conducted into the medications nephrological and cardiovascular potential. As a result, we may expect that SGLT-2 inhibitors will be more and more frequently prescribed. Thus, physicians of any specialty may come into contact with patients that are using this drug.
CASE DESCRIPTION
We describe a case of a male patient who developed a urinary tract infection with Candida glabrata while using a SGLT-2 inhibitor. After discontinuing the SGLT-2 inhibitor, the infection subsided.
CONCLUSION
Urinary tract infections from Candida are rarely seen in healthy individuals. Glucosuria is a known risk factor for fungal genital infections. More research is needed to determine whether SGLT-2 inhibitors increase the risk of fungal urinary tract infections.

Identifiants

pubmed: 37609918
pii:

Substances chimiques

Glucose IY9XDZ35W2
Hypoglycemic Agents 0
Sodium-Glucose Transporter 2 Inhibitors 0

Types de publication

Case Reports English Abstract Journal Article

Langues

dut

Sous-ensembles de citation

IM

Auteurs

Anna M Zeelenberg (AM)

Haaglanden Medisch Centrum, afd. Urologie, Den Haag.
Contact: Anna M. Zeelenberg (annazeelenberg@hotmail.com).

Gerard J van der Wielen (GJ)

Haaglanden Medisch Centrum, afd. Urologie, Den Haag.

Edith D Beishuizen (ED)

Haaglanden Medisch Centrum, afd. Interne Geneeskunde, Den Haag.

David J Hetem (DJ)

Haaglanden Medisch Centrum, afd. Medische Microbiologie, Den Haag.

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Classifications MeSH