Management of a Renal Fungal Bezoar Caused by Multidrug-Resistant Candida Glabrata. Issue 4 (1st October 2016)

• Record Type: Journal Article
• Authors: Berlanga, Gemma A.; Machen, Graham L.; Lowry, Patrick S.; Brust, Karen B.
• Is Part Of: Proceedings. Volume 29:Issue 4(2016)
• Page Start: 416
• Page End: 417
• Publication Date: 2016-10-01
• Subjects: Medicine -- Periodicals; Medicine; Medicine -- Periodicals; Periodicals; Electronic journals; 616.005
• DOI: 10.1080/08998280.2016.11929493
• Languages: English
• ISSNs: 0899-8280

Abstract

Abstract : We describe our management of an immunocompetent individual who developed obstructive uropathy and candidemia as a result of a fungal bezoar in the kidney. These sequelae arose from candiduria, provoked after several courses of antibiotics. Successful treatment included therapy with both culture-appropriate intravenous antifungals and operative intervention, including direct irrigation of the affected kidney with amphotericin B, relief of renal obstruction with a ureteral stent, a percutaneous nephrostomy tube, and ultimately endoscopic removal of the fungal bezoar. Our patient was successfully treated as evidenced by negative urine culture and lack of ongoing symptomatology.