Acute obstructive fungus ball pyelonephritis with Candida parapsilosis: A case report

• Published in: Clinical case reports Vol. 11; no. 6; pp. e7484 - n/a
• Main Authors: Radinasoa, Rajo Païdia, Andrianiaina, Armel Mamihaja, Randriamamizoly, Haingotiana, Andrianarivony, Luck Franscisca Adrien, Randriamarotia, Harilalaina Willy Franck, Vololontiana, Hanta Marie Danielle
• Format: Journal Article
• Language: English
• Published: England John Wiley & Sons, Inc 01.06.2023; John Wiley and Sons Inc; Wiley
• Subjects: Antibiotics; Antifungal agents; Bladder; Candida parapsilosis; Case Report; Case reports; Conflicts of interest; Creatinine; Diabetes; Editing; Fungi; fungus ball; Hyperkalemia; Infectious Diseases; Leukocytes; pyelonephritis; Ultrasonic imaging; Uremia; Uric acid; Urinary tract diseases; Urinary tract infections; Urine; Urogenital system; Visualization; Writing; fungus ball; pyelonephritis; Candida parapsilosis
• ISSN: 2050-0904; 2050-0904
• DOI: 10.1002/ccr3.7484

Key Clinical Message Fungal lithiasis is a rare but serious complication of candiduria. Frequent use of broad‐spectrum antibiotics is a contributing factor in predisposed subjects. Two CBEUs are required to confirm the diagnosis of candiduria. Anti‐fungal is found effective to eradicate the fungus ball besides surgery. Lithiasis by fungus ball is a serious complication of candiduria. Our case was a 58‐year‐old man who presented an acute obstructive pyelonephritis. Ultrasound revealed a left ureteral lithiasis. Biological examination revealed Candida parapsilosis. Antifungal was effective with good evolution. Broad‐spectrum antibiotic therapy is one favoring factor.