title: Candida tropicalis-associated bilateral renal papillary necrosis and emphysematous pyelonephritis.
abstract: Although the kidney is often involved in disseminated and localized candidiasis, bilateral emphysematous pyelonephritis (EPN) is infrequently reported. Renal papillary necrosis (RPN) caused by fungi is also rare. We describe a patient with bilateral RPN and EPN caused by Candida tropicalis, who suffered from recurrent hematuria, flank pain, acute fulminant renal failure, and obstruction by a sloughed papilla. He was treated successfully with antifungal therapy and percutaneous nephrostomy (PCN). This is the first case report of C. tropicalis-associated EPN and RPN.
authors.affiliation: Department of Internal Medicine, Far Eastern Memorial Hospital, Taipei, Taiwan.
authors.forename: V C
authors.initials: VC
authors.lastname: Wu
authors.forename: C C
authors.initials: CC
authors.lastname: Fang
authors.forename: W Y
authors.initials: WY
authors.lastname: Li
authors.forename: P R
authors.initials: PR
authors.lastname: Hsueh
authors.forename: T S
authors.initials: TS
authors.lastname: Chu
mesh_terms: D000328:Adult; D041022:Candida tropicalis; D002177:Candidiasis / Q000628:therapy*; D004646:Emphysema / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007681:Kidney Papillary Necrosis / Q000209:etiology* / Q000628:therapy; D008297:Male; D011704:Pyelonephritis / Q000209:etiology* / Q000628:therapy