Fungal ball in urinary tract, a rare entity, which needs a specific approach

Authors

  • Valentin Praz Service of urology, CHUV, university hospital of Lausanne, Switzerland
  • Rodolfo Burruni Service of urology, CHUV, university hospital of Lausanne, Switzerland
  • Florian Meid Service of urology, CHUV, university hospital of Lausanne, Switzerland
  • Marc Wisard Service of urology, CHUV, university hospital of Lausanne, Switzerland
  • Patrice Jichlinski Service of urology, CHUV, university hospital of Lausanne, Switzerland
  • Thomas Tawadros Service of urology, CHUV, university hospital of Lausanne, Switzerland

DOI:

https://doi.org/10.5489/cuaj.1254

Keywords:

antifungal agent Candida albicans urinary tract obstruction urinary tract infection

Abstract

A fungal mass in the urinary tract (fungus ball), mainly occurring in compromised patients, is a rare and dangerous complication of candiduria. We report 2 cases of fungus ball associated with hydronephrosis and sepsis. As reported in the literature, we treated the first patient by prompt relief of obstruction by nephrostomy and local and systemic antifungal agent. The second patient failed to respond to this treatment due to a distal ureteral stenosis and required open surgery with fungus ball removal and ureteral reimplantation. Despite a large success in urinary tract drainage with antifungal treatments, some cases need a modified approach due to anatomical modification.

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Published

2014-02-12

How to Cite

Praz, V., Burruni, R., Meid, F., Wisard, M., Jichlinski, P., & Tawadros, T. (2014). Fungal ball in urinary tract, a rare entity, which needs a specific approach. Canadian Urological Association Journal, 8(1-2), e118–20. https://doi.org/10.5489/cuaj.1254

Issue

Vol. 8 No. 1-2 (2014): CUAJ February

Section

Case Report

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