Ureteric obstruction due to fungus-ball in a chronically immunosuppressed patient

Authors

  • Niall F. Davis Department of Urology, Mid-Western Regional Hospital, Dooradoyle Co Limerick, Ireland
  • Lisa G. Smyth Department of Urology, Mid-Western Regional Hospital, Dooradoyle Co Limerick, Ireland
  • Elizabeth Mulcahy Department of Urology, Mid-Western Regional Hospital, Dooradoyle Co Limerick, Ireland
  • Tim Scanlon Department of Urology, Mid-Western Regional Hospital, Dooradoyle Co Limerick, Ireland
  • Liam Casserly Department of Urology, Mid-Western Regional Hospital, Dooradoyle Co Limerick, Ireland
  • Hugh D. Flood Department of Urology, Mid-Western Regional Hospital, Dooradoyle Co Limerick, Ireland

DOI:

https://doi.org/10.5489/cuaj.1214

Abstract

Candida albicans is a fungus that can cause opportunistic urinary tract infections in immunocompromised patients. Disseminated fungaemia secondary to Candida albicans is associated with considerable mortality and therefore merits aggressive treatment. Diagnostic investigations for urosepsis and disseminated fungaemaia secondary to Candida albicans include positive urine and blood cultures. Herein, we describe an extremely unusual case of disseminated fungaemia associated with an obstructive fungus-ball in the distal ureter of an immunosuppressed patient. We also describe a novel application of an established endourological technique for managing this clinical scenario and discuss appropriate perioperative management strategies.

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Published

2013-05-13

How to Cite

Davis, N. F., Smyth, L. G., Mulcahy, E., Scanlon, T., Casserly, L., & Flood, H. D. (2013). Ureteric obstruction due to fungus-ball in a chronically immunosuppressed patient. Canadian Urological Association Journal, 7(5-6), e355–8. https://doi.org/10.5489/cuaj.1214

Issue

Section

Case Report