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

Abstract

Candida urinary tract infection is actually on the rise, especially in hospitals. The most frequent species found among candidiasis is Candida albicans and rarely Candida parapsilosis. The emergence of new species of Candida with an increase in their resistance to antifungal drugs is the reason for this. 1 A simple urinary colonization is difficult to differentiate from a proper urinary infection. Factors have been found to favor infection, such as immunodepression, diabetes, prostheses, or endogenous surgical material, taking broad-spectrum antibiotic therapy. 2 It is a serious infection because it can range from a simple asymptomatic candiduria to a troublesome cystitis or even an obstructive pyelonephritis by the formation of candidal granuloma or "fungus ball" which is the most serious and can engage the vital prognosis of the patient in the short term. 3 Our objective is to report a case of obstructive pyelonephritis caused by a Candida parapsilosis fungus ball and to discuss the factors that may contribute to it. | CASE PRESENTATIONA 58-year-old man was admitted to the nephrology department for mictional burning and pollakiuria evolving for 2 weeks. The patient is a poorly treated gouty and hypertensive, not diabetic, and occasionally ethylic. He has