Management of a renal fungal bezoar caused by multidrug-resistantCandida glabrata.
We describe our management of an immunocompetent individual who developed obstructive uropathy and candidemia as a result of a fungal bezoar in the kidney. These sequelae arose from candiduria, provoked after several courses of antibiotics. Successful treatment included therapy with both culture-appropriate intravenous antifungals and operative intervention, including direct irrigation of the affected kidney with amphotericin B, relief of renal obstruction with a ureteral stent, a percutaneous nephrostomy tube, and ultimately endoscopic removal of the fungal bezoar. Our patient was successfully treated as evidenced by negative urine culture and lack of ongoing symptomatology.
Departments of Infectious Diseases (Berlanga, Brust) and Urology (Machen, Lowry), Baylor Scott & White Health, Temple, Texas.
Gemma A
GA
Berlanga
Departments of Infectious Diseases (Berlanga, Brust) and Urology (Machen, Lowry), Baylor Scott & White Health, Temple, Texas.
Graham L
GL
Machen
Departments of Infectious Diseases (Berlanga, Brust) and Urology (Machen, Lowry), Baylor Scott & White Health, Temple, Texas.
Patrick S
PS
Lowry
Departments of Infectious Diseases (Berlanga, Brust) and Urology (Machen, Lowry), Baylor Scott & White Health, Temple, Texas.
Karen B
KB
Brust
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