title: Bilateral renal papillary necrosis due to Candida infection in a diabetic patient presenting as anuria.
abstract: 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.
authors.affiliation: Department of Pathology, Sri Ramachandra Medical College and RI(DU), Porur, Chennai-116.
authors.forename: J
authors.initials: J
authors.lastname: Thanka
authors.forename: Sarah
authors.initials: S
authors.lastname: Kuruvilla
authors.forename: Georgi
authors.initials: G
authors.lastname: Abraham
authors.forename: S
authors.initials: S
authors.lastname: Shroff
authors.forename: B A
authors.initials: BA
authors.lastname: Kumar
authors.forename: Mary
authors.initials: M
authors.lastname: Ranjitham
mesh_terms: 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
chemical_list: D000935:Antifungal Agents; D015725:Fluconazole