Fungus Balls of the Urinary Tract

Fisher, John F.; Mayhall, Glen; Duma, Richard J.; Shadomy, Smith; Shadomy, Jean; Watlington, Charles O.

doi:10.1097/00007611-197910000-00019

Cited by 26 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…When fungus ball is present in the renal pelvis, the general suggestion in the literature is surgical intervention, local irrigation with amphotericin B and i.v. amphotericin B alone or in combination with flucytosine/fluconazole 1,2,4–10,12–22 . Surgical intervention, an important part of treatment, removed the obstruction and improved renal function immediately in the present patient.…”

Section: Discussionmentioning

confidence: 70%

Acute renal failure caused by fungus balls in renal pelvises

Kıyak

Alev

Canpolat

et al. 2009

Pediatrics International

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 70%

Acute renal failure caused by fungus balls in renal pelvises

Kıyak

Alev

Canpolat

et al. 2009

Pediatrics International

View full text Add to dashboard Cite

“…Fluconazole is the mainstay of therapy. Although antifungal agent therapy can result in spontaneous disruption and passage of the hyphal mass filament and debris, it is not sufficient to eliminate the fungus ball completely [59]. An invasive procedure is almost always required to relieve the obstruction and remove the mass.…”

Section: Treatment Of Complicationsmentioning

confidence: 99%

Management of Candida Urinary Tract Infection in the Elderly

Kim

Ryu

Kim

et al. 2019

Urogenit Tract Infect

View full text Add to dashboard Cite

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.

show abstract

“…A major complication of upper urinary tract involvement is obstruction caused by fungal balls (bezoars), which can also be visualized on an ultrasonograph. 59 Renal colic may occur with the passage of fungal "stones," which are actually portions of fungal balls.…”

Section: Urinary Candidiasismentioning

confidence: 99%

Candidiasis in the Intensive Care Unit

Sobel

Vázquez

2003

Seminars in Respiratory and Critical Care Medicine

View full text Add to dashboard Cite

In the last 2 decades, Candida species have progressed from infrequent pathogens to among the most important and frequent opportunistic microorganisms causing nosocomial infection in intensive care unit (ICU) patients. Medical and surgical ICUs have become the epicenter of the Candida epidemic. Superficial infections causing oropharyngeal and esophageal candidiasis are common, and, although non-life threatening, may be refractory to conventional antifungals. In contrast, invasive candidiasis, candidemia, and hematogenous disseminated infections are associated with considerable attributable mortality. Although blood isolates of C. albicans remain susceptible to fluconazole, the increasing incidence of non- albicans Candida species with intrinsic reduced susceptibility to azoles creates new therapeutic challenges. Fortunately, lipid formulations of amphotericin B and the recently introduced echinocandin group represent new and strategic treatment responses to the challenge of invasive candidiasis.

show abstract

Fungus Balls of the Urinary Tract

Cited by 26 publications

References 0 publications

Acute renal failure caused by fungus balls in renal pelvises

Acute renal failure caused by fungus balls in renal pelvises

Management of Candida Urinary Tract Infection in the Elderly

Candidiasis in the Intensive Care Unit

Contact Info

Product

Resources

About