title: Acute renal failure as a result of bilateral ureteral obstruction by Candida albicans fungus balls.
abstract: A 73-year-old male with a history of diabetes mellitus was admitted to our hospital for acute renal failure. An ultrasonogram revealed bilateral hydronephrosis, which worsened despite insertion of a bladder catheter. Nephrostomy catheters were positioned bilaterally, and Candida albicans was found in the urine culture. The patient was successfully treated with intermittent direct irrigation and i.v. antifungal agent therapy. Since 1977, approximately 50 cases of fungus balls or fungal bezoars in the urinary tract have been reported, but the majority of these cases have been characterized by unilateral ureteral or bladder involvement. Herein, we report a case of acute renal failure as a result of bilateral ureteral obstruction by Candida albicans fungus balls.
authors.affiliation: Department of Urology, Tohoku University Graduate School of Medicine, Sendai, Japan.
authors.forename: Shuichi
authors.initials: S
authors.lastname: Shimada
authors.forename: Haruo
authors.initials: H
authors.lastname: Nakagawa
authors.forename: Ichiro
authors.initials: I
authors.lastname: Shintaku
authors.forename: Seiichi
authors.initials: S
authors.lastname: Saito
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Arai
mesh_terms: D058186:Acute Kidney Injury / Q000000981:diagnostic imaging / Q000209:etiology*; D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use; D001630:Bezoars; D002177:Candidiasis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D006869:Hydronephrosis / Q000000981:diagnostic imaging / Q000209:etiology; D008297:Male; D007507:Therapeutic Irrigation; D014463:Ultrasonography; D014517:Ureteral Obstruction / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D014546:Urinary Catheterization
chemical_list: D000935:Antifungal Agents