title: Multifocal Renal Fungal Abscesses.
abstract: We report a case of multiple fungal renal abscesses in a 36-year-old woman with a history of diabetes and intravenous substance use disorder. The patient presented with fever and hematuria, and was found to be bacteremic and fungemic. She was initially managed with broad-spectrum antibiotics and antifungals. She remained febrile and imaging on treatment day 14 showed no improvement of the renal abscesses. Thus, a nephrectomy was performed, after which the patient defervesced and follow-up blood cultures were negative. There is a paucity of literature regarding management of multifocal fungal renal abscesses that fail to respond to medical management.
authors.affiliation: Department of Urology, Temple University School of Medicine, Philadelphia, PA. Electronic address: tue85143@temple.edu.
authors.forename: Eric Y
authors.initials: EY
authors.lastname: Cho
authors.affiliation: Department of Urology, Temple University School of Medicine, Philadelphia, PA.
authors.forename: Joshua R
authors.initials: JR
authors.lastname: Kaplan
authors.affiliation: Department of Urology, Temple University School of Medicine, Philadelphia, PA.
authors.forename: Linda
authors.initials: L
authors.lastname: Mamone
authors.affiliation: Department of Urology, Temple University School of Medicine, Philadelphia, PA.
authors.forename: Jack H
authors.initials: JH
authors.lastname: Mydlo
authors.affiliation: Department of Urology, Temple University School of Medicine, Philadelphia, PA.
authors.forename: Adam C
authors.initials: AC
authors.lastname: Reese
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging / Q000628:therapy; D000328:Adult; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000000981:diagnostic imaging / Q000628:therapy; D009181:Mycoses / Q000000981:diagnostic imaging / Q000628:therapy; D014552:Urinary Tract Infections / Q000000981:diagnostic imaging / Q000628:therapy