[A case of Candida parapsilosis fungal balls in the urinary tract associated with a retrocaval ureter].
A 70-year-old man with a medical history of diabetes mellitus presented to a local clinic with seven days history of right flank pain and fever. Because there was no symptomatic improvement after one-week antibiotic administration, abdominal ultrasonography and computed tomographic scans were performed to show mass lesions in the right hydropelvis, and he was transferred to our hospital. Retrograde pyelography revealed a retrocaval ureter and a ureteral stent was indwelt. After the symptoms improved, the lesions were removed by percutaneous nephrostomy and fungal balls were diagnosed as Candida parapsilosis after culture. After intermittent one-week irrigation of the renal pelvis with normal saline, the nephrostomy tube was removed. In six-month follow-up, mild hydronephrosis remains without fungal ball recurrence. To the best our knowledge, there has been no case report of Candida parapsilosis fungal balls in the urinary tract.
Kamimura
Yoshiho
Y
Department of Urology, Kobe City Medical Center General Hospital.
Segawa
Takehiro
T
Yamaguchi
Kazuaki
K
Masuda
Norihiko
N
Utsunomiya
Noriaki
N
Muguruma
Koei
K
Kawakita
Mutsushi
M
D000368:Aged; D002175:Candida / Q000302:isolation & purification; D002177:Candidiasis / Q000382:microbiology / Q000628:therapy*; D006801:Humans; D008297:Male; D009403:Nephrostomy, Percutaneous; D014513:Ureter / Q000002:abnormalities*; D014515:Ureteral Diseases / Q000382:microbiology / Q000628:therapy*; D014682:Vena Cava, Inferior