Urinary tract fungal ball in a single kidney after total nephroureterocystectomy

Q4 Medicine IJU Case Reports Pub Date : 2024-07-09 DOI:10.1002/iju5.12757
Yoshinori Nakano, Yohei Sekino, Kenshiro Takemoto, Takeshi Ueno, Shogo Fujii, Hiroyuki Kitano, Keisuke Hieda, Shinya Ohara, Nobuyuki Hinata
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Abstract

Introduction

Fungal balls in the urinary tract are rare but dangerous complications of candiduria. Here, we report a case of a urinary tract fungal ball in a single kidney after total nephroureterocystectomy.

Case presentation

The patient was an 80-year-old male. He had a history of pyelonephritis, and his ureteral stent was regularly replaced. He was admitted to the hospital with a chief complaint of urinary tract obstruction, and a 50-mm-sized mass was found within the renal pelvis. Because the ureteral stent frequently became obstructed, the mass was removed percutaneously. Candida albicans was detected on the tissue culture results, and the mass was diagnosed as a fungal ball.

Conclusion

Appropriate urinary drainage methods for fungal balls vary among patients, and it is important to select an appropriate method based on the accumulated number of cases.

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全肾膀胱切除术后单个肾脏中的尿路真菌球
尿路真菌球是念珠菌尿的罕见但危险的并发症。在此,我们报告了一例在全肾输尿管囊肿切除术后在单肾中发现尿路真菌球的病例。他有肾盂肾炎病史,输尿管支架定期更换。他以尿路梗阻为主诉入院,在肾盂内发现了一个 50 毫米大小的肿块。由于输尿管支架经常发生阻塞,因此经皮切除了肿块。组织培养结果检测出白色念珠菌,肿块被诊断为真菌球。真菌球的适当排尿方法因人而异,重要的是要根据累计病例数选择适当的方法。
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来源期刊
IJU Case Reports
IJU Case Reports Medicine-Urology
CiteScore
0.60
自引率
0.00%
发文量
147
审稿时长
15 weeks
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