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Candida Pyelonephritis Complicated by Fungaemia in Obstructive Uropathy
Author(s) -
BEILKE M.A.,
KIRMANI N.
Publication year - 1988
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1988.tb04255.x
Subject(s) - obstructive uropathy , medicine , amphotericin b , urinary system , antifungal , percutaneous , intensive care medicine , dermatology
Summary— Fungal pyelonephritis caused by Candida species and Torulopsis without evidence of systemic organ involvement is uncommon. Most reported cases have been in diabetic females or in patients on immunosuppressive drugs. We report 3 cases of elderly men who had fungal pyelonephritis presumed secondary to obstructive uropathy. All subsequently developed fungaemia. Two were managed successfully with percutaneous or ureteric stents and systemic antifungal therapy; the third died despite systemic amphotericin B.