Endoscopic Management of Renal Candidiasis

Chitale, Sudhanshu; Shaida, Nadeem; Burtt, Glyn; Burgess, Neil

doi:10.1089/end.2004.18.865

Cited by 10 publications

(5 citation statements)

References 12 publications

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“…Fungus balls are an uncommon complication of Candida UTI except in neonates, in whom fungus ball formation in the collecting system commonly occurs as a manifestation of disseminated candidiasis [483]. In adults, surgical or endoscopic removal of the obstructing mycelial mass is central to successful treatment [94,508,509]. In neonates, some series documented resolution of fungus balls with antifungal treatment alone [510], but others found that endoscopic removal was necessary [511,512].…”

Section: Evidence Summarymentioning

confidence: 99%

Clinical Practice Guideline for the Management of Candidiasis: 2016 Update by the Infectious Diseases Society of America

Pappas

Kauffman

Andes

et al. 2015

Clinical Infectious Diseases

2,669

2,708

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It is important to realize that guidelines cannot always account for individual variation among patients. They are not intended to supplant physician judgment with respect to particular patients or special clinical situations. IDSA considers adherence to these guidelines to be voluntary, with the ultimate determination regarding their application to be made by the physician in the light of each patient's individual circumstances.

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Section: Evidence Summarymentioning

confidence: 99%

Clinical Practice Guideline for the Management of Candidiasis: 2016 Update by the Infectious Diseases Society of America

Pappas

Kauffman

Andes

et al. 2015

Clinical Infectious Diseases

2,669

2,708

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“…Aggressive surgical debridement is required in addition to systemic treatment with amphotericin (with or without flucytosine) or fluconazole (24,55,167). Debulking of the fungal mass and aggressive local irrigation with amphotericin and even streptokinase could be considered as an adjunct to systemic antifungal therapy if a percutaneous device provides direct access (17,53,227). Percutaneous nephrostomies can relieve the obstruction initially and also permit irrigation with antifungals (19).…”

Section: Treatment Of Candiduriamentioning

confidence: 99%

Candida Infections of the Genitourinary Tract

2010

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SUMMARYAll humans are colonized withCandidaspecies, mostlyCandida albicans, yet some develop diseases due toCandida, among which genitourinary manifestations are extremely common. The forms of genitourinary candidiasis are distinct from each other and affect different populations. While vulvovaginal candidiasis affects mostly healthy women, candiduria occurs typically in elderly, hospitalized, or immunocompromised patients and in neonates. Despite its high incidence and clinical relevance, genitourinary candidiasis is understudied, and therefore, important questions about pathogenesis and treatment guidelines remain to be resolved. In this review, we summarize the current knowledge about genitourinary candidiasis.

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“…Intermittent saline irrigation, percutaneous endoscopic disruption and drainage, and percutaneous irrigation with streptokinase can also be performed to facilitate the breakdown and passage of fungus balls [62,63]. The recommended dose is 0.3 to 1.0 mg/kg per day for 5 to 7 days, but even a single-dose with 0.2 to 1.0 mg/kg has been shown to be effective [64].…”

Section: Treatment Of Complicationsmentioning

confidence: 99%

Management of Candida Urinary Tract Infection in the Elderly

Kim

Ryu

Kim

et al. 2019

Urogenit Tract Infect

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Candida urinary tract infections in elderly patients are becoming increasingly common. The risk factors for the development of candiduria include old age, use of broad-spectrum antibiotics, corticosteroids and indwelling urethral catheters, as well as diabetes mellitus, urological abnormalities, and hematological malignancies. The presence of signs and symptoms of infection are unusual, and the intensity of fungal growth in culture does not correlate with the outcome. Elderly patients often present with atypical signs and symptoms of infection. Careful assessment of the patient's clinical status should be undertaken before treatment is initiated. The indications for antifungal therapy are the same for older and younger individuals, and the initial antifungal therapy should be selected based on the infecting organism and local epidemiology. Fluconazole is the mainstay of treatment. On the other hand, Candida glabrata is more common in elderly patients and is often refractory to fluconazole therapy. The selection of drug therapy for elderly patients should consider the comorbidities, risk of drug-drug interactions, and dose adjustment for physiological function.

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Endoscopic Management of Renal Candidiasis

Cited by 10 publications

References 12 publications

Clinical Practice Guideline for the Management of Candidiasis: 2016 Update by the Infectious Diseases Society of America

Clinical Practice Guideline for the Management of Candidiasis: 2016 Update by the Infectious Diseases Society of America

Candida Infections of the Genitourinary Tract

Management of Candida Urinary Tract Infection in the Elderly

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