title: Treatment of Fungal Urinary Tract Infection.
abstract: Funguria, and particularly candiduria, is an increasingly common problem encountered by the practicing urologist and is associated with high-acuity care, indwelling catheters, diabetes mellitus, antibiotic and steroid use, and urinary tract disease. In most cases, candiduria is asymptomatic and follows a benign clinical course with antifungal therapy only required in symptomatic or high-risk cases, because spontaneous resolution is common in patients with asymptomatic colonization. Rarely, invasive infections can occur (such as fungus balls or renal abscesses) and may require percutaneous and endoscopic interventions. This article highlights the workup and treatment of funguria and its related urologic manifestations.
authors.affiliation: Department of Urology, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242, USA.
authors.forename: Lewis
authors.initials: L
authors.lastname: Thomas
authors.affiliation: Department of Urology, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242, USA. Electronic address: Chad-Tracy@uiowa.edu.
authors.forename: Chad R
authors.initials: CR
authors.lastname: Tracy
mesh_terms: D000935:Antifungal Agents / Q000009:adverse effects / Q000627:therapeutic use*; D058365:Candidiasis, Invasive / Q000175:diagnosis / Q000188:drug therapy / Q000652:urine; D003556:Cystitis / Q000188:drug therapy / Q000382:microbiology; D025141:Drug Resistance, Fungal; D006801:Humans; D009181:Mycoses / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy* / Q000652:urine; D012307:Risk Factors; D014545:Urinary Calculi / Q000150:complications / Q000628:therapy / Q000652:urine; D014552:Urinary Tract Infections / Q000175:diagnosis* / Q000188:drug therapy* / Q000382:microbiology / Q000652:urine
chemical_list: D000935:Antifungal Agents
keywords: Amphotericin B; Candidemia; Candiduria; Fluconazole; Flucytosine; Funguria; Fungus ball