title: Ureteric obstruction due to fungus-ball in a chronically immunosuppressed patient.
abstract: Candida albicans is a fungus that can cause opportunistic urinary tract infections in immunocompromised patients. Disseminated fungaemia secondary to Candida albicans is associated with considerable mortality and therefore merits aggressive treatment. Diagnostic investigations for urosepsis and disseminated fungaemaia secondary to Candida albicans include positive urine and blood cultures. Herein, we describe an extremely unusual case of disseminated fungaemia associated with an obstructive fungus-ball in the distal ureter of an immunosuppressed patient. We also describe a novel application of an established endourological technique for managing this clinical scenario and discuss appropriate perioperative management strategies.
authors.affiliation: Department of Urology, Mid-Western Regional Hospital, Dooradoyle, Limerick, Ireland.
authors.forename: Niall F
authors.initials: NF
authors.lastname: Davis
authors.forename: Lisa G
authors.initials: LG
authors.lastname: Smyth
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Mulcahy
authors.forename: Tim
authors.initials: T
authors.lastname: Scanlon
authors.forename: Liam
authors.initials: L
authors.lastname: Casserly
authors.forename: Hugh D
authors.initials: HD
authors.lastname: Flood