Thanka J, Kuruvilla Sarah, Abraham Georgi, Shroff S, Kumar B A, Ranjitham Mary
Department of Pathology, Sri Ramachandra Medical College and RI(DU), Porur, Chennai-116.
J Assoc Physicians India. 2003 Sep;51:919-20.
A 38 years insulin-dependent diabetic male, with nephropathy on antituberculous treatment presented with painless frank hematuria followed by anuria for a day which was associated with fever. Ultrasonogram of the abdomen showed bilateral hydroureteronephrosis. Necrotic papillae were retrieved after ureteroscopy which on histopathological examination and culture showed Candida albicans. This was successfully treated with fluconazole and ureteroscopic removal of necrotic papillae.
一名38岁的胰岛素依赖型糖尿病男性，患有肾病且正在接受抗结核治疗，出现无痛性肉眼血尿，随后无尿一天，并伴有发热。腹部超声检查显示双侧输尿管肾盂积水。输尿管镜检查后取出坏死乳头，经组织病理学检查和培养显示为白色念珠菌。通过氟康唑治疗以及输尿管镜下切除坏死乳头，病情得到成功治疗。
