title: [Bilateral candida bezoar of the upper urinary tract].
abstract: Fungal urinary tract infections are due to candida albicans as first responsible germ. This sporulated oval fungus divides itself by gemmation and produces pseudohyphas when it is spread in culture mediums, organic tissues or their exudates. The most frequent predisposing factor is diabetes mellitus. Others predisposing factors are: long antibiotic administration, corticoids, immunosuppressors, neoplasias, neurogenic bladder, and catheter or foreign bodies into the urinary tract. Bezoar formation is a rare complication that sometimes produces obstructive uropathy. Although Candida albicans is the most frequent observed germ in bezoars, Candida tropicalis, Penicillium, Aspergillus, Mucor y Turolopsis have been found as well. We present the case of a diabetic patient with a bilateral bezoar formation into the upper urinary tract due to Candida albicans. Clinical features, diagnosis and treatment are described emphasizing in the are bilateral onset.
authors.affiliation: Servicio de Urología, Hospital Universitario Dr. Peset, Valencia.
authors.forename: V
authors.initials: V
authors.lastname: Rodrigo Guanter
authors.forename: A
authors.initials: A
authors.lastname: Serrano Durbá
authors.forename: V
authors.initials: V
authors.lastname: Carrascosa Lloret
authors.forename: J I
authors.initials: JI
authors.lastname: Santolaya García
authors.forename: M
authors.initials: M
authors.lastname: Sánchez Sanchís
authors.forename: J C
authors.initials: JC
authors.lastname: Pastor Lence
authors.forename: C
authors.initials: C
authors.lastname: San Juan de la Orden
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001630:Bezoars / Q000000981:diagnostic imaging / Q000382:microbiology*; D002176:Candida albicans; D006801:Humans; D007682:Kidney Pelvis / Q000000981:diagnostic imaging; D008297:Male; D011859:Radiography
vernacular_title: Bezoar candidiásico bilateral del tracto urinario superior.