Bilateral renal papillary necrosis due to Candida infection in a diabetic patient presenting as anuria.
A 38 years insulin-dependent diabetic male, with nephropathy on antituberculous treatment presented with painless frank hematuria followed by anuria for a day which was associated with fever. Ultrasonogram of the abdomen showed bilateral hydroureteronephrosis. Necrotic papillae were retrieved after ureteroscopy which on histopathological examination and culture showed Candida albicans. This was successfully treated with fluconazole and ureteroscopic removal of necrotic papillae.
Thanka
J
J
Department of Pathology, Sri Ramachandra Medical College and RI(DU), Porur, Chennai-116.
Kuruvilla
Sarah
S
Abraham
Georgi
G
Shroff
S
S
Kumar
B A
BA
Ranjitham
Mary
M
D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D001002:Anuria / Q000209:etiology*; D002177:Candidiasis / Q000150:complications* / Q000188:drug therapy; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D015725:Fluconazole / Q000627:therapeutic use; D006801:Humans; D007681:Kidney Papillary Necrosis / Q000209:etiology* / Q000473:pathology; D008297:Male
D000935:Antifungal Agents; D015725:Fluconazole