Fungus ball and emphysematous cystitis secondary to Candida tropicalis: A case report

Authors

  • Lei Wang
  • Xiang Ji
  • Guo-feng Sun
  • Ying-chao Qin
  • Miao-zi Gong
  • Jin-xia Zhang
  • Ning-chen Li Peking University Shougang Hospital
  • Yan-qun Na

DOI:

https://doi.org/10.5489/cuaj.3008

Keywords:

fungus ball, emphysematous cystitis, Candida tropicalis

Abstract

Fungus ball and fungal emphysematous cystitis are two rare complications of fungal urinary tract infection. A 53-year-old male patient presented with these complications caused by Candida tropicalis simultaneously. The predisposing factors were diabetes mellitus and usage of broad-spectrum antibiotics. The fungus ball, measuring 3.5 × 2.0 cm on the left wall of the urinary bladder, shrank significantly to 1.6 × 0.8 cm after 5 days of intermittent irrigation with saline before surgery. With transurethral removal of the fungus ball and antifungal treatment with fluconazole, the patient fully recovered. We conclude that a bladder fungus ball and fungal emphysematous cystitis should always be suspected in patients with diabetes mellitus with uncontrolled funguria and abnormal imaging. Treatment should include a systemic antifungal therapy and thorough surgical removal of the fungus ball. A systemic antifungal therapy combined with a local irrigation with saline or antifungal drugs might help decrease the dissemination of fungemia during an invasive manipulation.

Downloads

Download data is not yet available.

Downloads

Published

2015-09-09

How to Cite

Wang, L., Ji, X., Sun, G.- feng, Qin, Y.- chao, Gong, M.- zi, Zhang, J.- xia, Li, N.- chen, & Na, Y.- qun. (2015). Fungus ball and emphysematous cystitis secondary to Candida tropicalis: A case report. Canadian Urological Association Journal, 9(9-10), E683–6. https://doi.org/10.5489/cuaj.3008

Issue

Vol. 9 No. 9-10 (2015): CUAJ September

Section

Case Report

License

You, the Author(s), assign your copyright in and to the Article to the Canadian Urological Association. This means that you may not, without the prior written permission of the CUA:

  • Post the Article on any Web site
  • Translate or authorize a translation of the Article
  • Copy or otherwise reproduce the Article, in any format, beyond what is permitted under Canadian copyright law, or authorize others to do so
  • Copy or otherwise reproduce portions of the Article, including tables and figures, beyond what is permitted under Canadian copyright law, or authorize others to do so.

The CUA encourages use for non-commercial educational purposes and will not unreasonably deny any such permission request.

You retain your moral rights in and to the Article. This means that the CUA may not assert its copyright in such a way that would negatively reflect on your reputation or your right to be associated with the Article.

The CUA also requires you to warrant the following:

  • That you are the Author(s) and sole owner(s), that the Article is original and unpublished and that you have not previously assigned copyright or granted a licence to any other third party;
  • That all individuals who have made a substantive contribution to the article are acknowledged;
  • That the Article does not infringe any proprietary right of any third party and that you have received the permissions necessary to include the work of others in the Article; and
  • That the Article does not libel or violate the privacy rights of any third party.