[Candidal bezoar of the urinary tract during Candida albicans septicemia].
We report a case of an obstructing fungus ball of the urinary tract. Typical predisposing factors were present, i.e. bladder catheter, vesico-ureteral reflux, urinary infection, parenteral nutrition, prolonged antibiotherapy, hyperglycemia. Candida albicans septicemia was noted. Diagnosis was made by percutaneous nephrostomy under echographic control allowing urinary sampling (C. albicans) and anterograde pyelography showing an ureteral stenosis. Urinary drainage and local and general administration of amphotericin lead to a complete resolution of the fungus ball and the systemic candidiasis.
Service de Réanimation Polyvalente, Centre Hospitalier Général, Annonay.
P L
PL
Blanc
D
D
Berne
M
M
Annweiler
J M
JM
Marc
A
A
Béal
B
B
Bedock
D000368:Aged; D002177:Candidiasis / Q000382:microbiology*; D016469:Fungemia / Q000382:microbiology*; D006801:Humans; D008297:Male; D009403:Nephrostomy, Percutaneous; D014552:Urinary Tract Infections / Q000175:diagnosis / Q000382:microbiology*; D014567:Urography
Bézoard candidosique des voies urinaires au cours d'une septicémie à candida albicans.