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Acute renal failure as a result of bilateral ureteral obstruction by Candida albicans fungus balls
Author(s) -
SHIMADA SHUICHI,
NAKAGAWA HARUO,
SHINTAKU ICHIRO,
SAITO SEIICHI,
ARAI YOICHI
Publication year - 2006
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.2006.01509.x
Subject(s) - medicine , candida albicans , hydronephrosis , urinary system , surgery , catheter , urology , microbiology and biotechnology , biology
A 73‐year‐old male with a history of diabetes mellitus was admitted to our hospital for acute renal failure. An ultrasonogram revealed bilateral hydronephrosis, which worsened despite insertion of a bladder catheter. Nephrostomy catheters were positioned bilaterally, and Candida albicans was found in the urine culture. The patient was successfully treated with intermittent direct irrigation and i.v. antifungal agent therapy. Since 1977, approximately 50 cases of fungus balls or fungal bezoars in the urinary tract have been reported, but the majority of these cases have been characterized by unilateral ureteral or bladder involvement. Herein, we report a case of acute renal failure as a result of bilateral ureteral obstruction by Candida albicans fungus balls.