title: Candida glabrata perinephric abscess.
abstract: Perinephric abscess is a rare complication of urinary tract infections, and the etiology is usually a gram negative bacillus. We report a case of Candida glabrata perinephric abscess in a patient with diabetes mellitus who had a recent episode of pyelonephritis that was treated with antibiotics. Percutaneous drainage and fluconazole treatment led to resolution of the infection. Yeast perinephric abscess should be considered when symptoms of acute or chronic urinary tract infection occur in elderly and diabetic patients, especially patients who are unresponsive to antibacterial therapy. The clinical course is sometimes insidious. Imaging (contrast-enhanced CT or MRI) is required for diagnosis, and drainage is indicated for successful therapy. Adjuvant antifungal treatment is recommended based on the results of antifungal susceptibility tests.
authors.affiliation: Department of Infectious Diseases and Clinical Microbiology, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey.
authors.forename: Ilker Inanc
authors.initials: II
authors.lastname: Balkan
authors.affiliation: Department of 1st Internal Medicine, Bezmi Alem Valide Sultan Vakif Gureba Training and Research Hospital, Istanbul, Turkey.
authors.forename: Arif
authors.initials: A
authors.lastname: Savas
authors.affiliation: Department of 1st Internal Medicine, Bezmi Alem Valide Sultan Vakif Gureba Training and Research Hospital, Istanbul, Turkey.
authors.forename: Ayfer
authors.initials: A
authors.lastname: Geduk
authors.affiliation: Department of Infectious Diseases and Clinical Microbiology, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey.
authors.forename: Mucahit
authors.initials: M
authors.lastname: Yemisen
authors.affiliation: Department of Infectious Diseases and Clinical Microbiology, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey.
authors.forename: Bilgul
authors.initials: B
authors.lastname: Mete
authors.affiliation: Department of Infectious Diseases and Clinical Microbiology, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey.
authors.forename: Resat
authors.initials: R
authors.lastname: Ozaras
keywords: Candida glabrata; Fluconazole; Percutaneous drainage; Perinephric abscess