Anurie obstructive par “fungus balls”: A propos de 3 cas

Fredj, N. Ben; Touffahi, Mounir; Saidi, Radhwane; Lefi, Mounir; Achour, A.; Gahbiche, M.; Hafsa, C.; Zakhama, A.; Saad, H.

doi:10.1007/bf02994514

Cited by 1 publication

(2 citation statements)

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“…Several factors have been described as favoring candida urinary tract infections such as immunosuppression (HIV, chronic renal failure, cancer, diabetes, and the presence of intrabody prosthetic material). The use of long‐term corticosteroids and immunosuppressive drugs was also reported in the literature 9 . The frequent use of broad‐spectrum antibiotics is one of the main causes found 10 .…”

Section: Discussionmentioning

confidence: 85%

“…The use of long‐term corticosteroids and immunosuppressive drugs was also reported in the literature. 9 The frequent use of broad‐spectrum antibiotics is one of the main causes found. 10 A fungus ball can originate from agglutination of a necrotic nucleus tissue (papillary necrosis), mucosus debris, and foreign or lithiasic debris; this can then lead to a urinary tract obstruction and hydronephrosis, which is a very rare complication of candiduria.…”

Section: Discussionmentioning

confidence: 99%

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

Radinasoa,

Andrianiaina,

Randriamamizoly

et al. 2023

Clinical Case Reports

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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

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%