CandidaBezoars with Urinary Tract Obstruction in Two Women without Immunocompromising Conditions
Author(s) -
Giuseppe Di Paola,
Andrea Mogorovich,
Girolamo Fiorini,
Maria Giuseppa Cuttano,
Francesca Manassero,
Cesare Selli
Publication year - 2011
Publication title -
the scientific world journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.453
H-Index - 93
eISSN - 2356-6140
pISSN - 1537-744X
DOI - 10.1100/tsw.2011.119
Subject(s) - urinary system , pathognomonic , medicine , obstructive uropathy , diabetes mellitus , foreign body , surgery , disease , endocrinology
More than half of the cases of fungal infections of the urinary tract are caused by Candida sp., but occurrence of obstructive uropathy caused by mycetomas or fungus balls (urobezoars) is extremely rare. The latter are conglomerates of fungal hyphae. Diabetes mellitus, immunosuppression, chronic disease, and malignancies are known predisposing factors. Preoperative imaging is not pathognomonic; blood clots, radiolucent urinary calculi, air bubbles, and inflammatory debris can mimic urobezoars. We report on two otherwise healthy women presenting with urinary tract obstruction caused by candidal mycetomas of the renal pelvis that mimicked matrix lithiasis.
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