title: A case of Candida albicans fungus balls in the urinary tract appeared during the course of antifungal treatment for Candida endophthalmitis.
abstract: Fungus balls have been rarely implicated as a cause of urinary tract obstruction. Here, we report a case of Candida albicans fungus balls in the urinary tract after the treatment of Candida endophthalmitis that has enough periods and adequate amount of antifungal agents. The patient completely recovered from this rare complication by irrigating through single-J stent and changing antifungal agents. Here we emphasize that we should take into account not only the susceptibility test results but also the difference in excretion route and tissue distribution of antifungal agents.
authors.affiliation: Department of Medicine and Biosystemic Science, Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka City, Fukuoka 812-8582, Japan.
authors.forename: Kyoko
authors.initials: K
authors.lastname: Onozawa
authors.affiliation: Department of Medicine and Biosystemic Science, Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka City, Fukuoka 812-8582, Japan. Electronic address: tsuchy@intmed1.med.kyushu-u.ac.jp.
authors.forename: Noriko
authors.initials: N
authors.lastname: Miyake
authors.affiliation: Department of Medicine and Biosystemic Science, Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka City, Fukuoka 812-8582, Japan.
authors.forename: Noriko
authors.initials: N
authors.lastname: Iwasaki
authors.affiliation: Department of Medicine and Biosystemic Science, Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka City, Fukuoka 812-8582, Japan.
authors.forename: Ruriko
authors.initials: R
authors.lastname: Nishida
authors.affiliation: Department of Medicine and Biosystemic Science, Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka City, Fukuoka 812-8582, Japan.
authors.forename: Yong
authors.initials: Y
authors.lastname: Chong
authors.affiliation: Department of Medicine and Biosystemic Science, Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka City, Fukuoka 812-8582, Japan.
authors.forename: Shinji
authors.initials: S
authors.lastname: Shimoda
authors.affiliation: Department of Medicine and Biosystemic Science, Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka City, Fukuoka 812-8582, Japan.
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Shimono
authors.affiliation: Department of Medicine and Biosystemic Science, Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka City, Fukuoka 812-8582, Japan.
authors.forename: Koichi
authors.initials: K
authors.lastname: Akashi
mesh_terms: D000935:Antifungal Agents / Q000627:therapeutic use; D002176:Candida albicans; D002177:Candidiasis / Q000150:complications* / Q000188:drug therapy*; D009877:Endophthalmitis / Q000188:drug therapy* / Q000382:microbiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D015607:Stents; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D014552:Urinary Tract Infections / Q000382:microbiology*
chemical_list: D000935:Antifungal Agents
keywords: Antifungal agent; Candida albicans; Fungus ball; Pharmacokinetics