title: Candida bezoars with urinary tract obstruction in two women without immunocompromising conditions.
abstract: More than half of the cases of fungal infections of the urinary tract are caused by Candida sp., but occurrence of obstructive uropathy caused by mycetomas or fungus balls (urobezoars) is extremely rare. The latter are conglomerates of fungal hyphae. Diabetes mellitus, immunosuppression, chronic disease, and malignancies are known predisposing factors. Preoperative imaging is not pathognomonic; blood clots, radiolucent urinary calculi, air bubbles, and inflammatory debris can mimic urobezoars. We report on two otherwise healthy women presenting with urinary tract obstruction caused by candidal mycetomas of the renal pelvis that mimicked matrix lithiasis.
authors.affiliation: Department of Urology, University of Pisa, Pisa, Italy. drdipaola@gmail.com
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Di Paola
authors.forename: Andrea
authors.initials: A
authors.lastname: Mogorovich
authors.forename: Girolamo
authors.initials: G
authors.lastname: Fiorini
authors.forename: Maria Giuseppa
authors.initials: MG
authors.lastname: Cuttano
authors.forename: Francesca
authors.initials: F
authors.lastname: Manassero
authors.forename: Cesare
authors.initials: C
authors.lastname: Selli
mesh_terms: D000368:Aged; D002175:Candida / Q000302:isolation & purification*; D002177:Candidiasis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008271:Mycetoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D052878:Urolithiasis / Q000175:diagnosis*; D014570:Urologic Diseases / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery