Smaldone Marc C, Cannon Glenn M, Benoit Ronald M
Department of Urology, University of Pittsburgh School of Medicine, Pennsylvania 15213, USA.
J Endourol. 2006 May;20(5):318-20. doi: 10.1089/end.2006.20.318.
Ureteral obstruction as a result of a primary aspergillus infection is rare. Early clinical suspicion in immunosuppressed patients is essential to diagnosis. We report a case of a 50-year-old diabetic woman presenting with acute renal failure, sepsis, and bilateral ureteral obstruction. Initial management included bilateral percutaneous nephrostomy tubes. Urine culture from both the left and right renal pelvis grew Aspergillus flavus. The left-sided obstruction resolved with antifungal therapy. However, her right ureteral obstruction persisted and was managed with ureteroscopy and removal of the fungal bezoar.
原发性曲霉菌感染导致输尿管梗阻较为罕见。对免疫抑制患者进行早期临床怀疑对于诊断至关重要。我们报告一例50岁糖尿病女性患者，表现为急性肾衰竭、脓毒症和双侧输尿管梗阻。初始治疗包括双侧经皮肾造瘘管置入。左右肾盂尿液培养均生长出黄曲霉。左侧梗阻经抗真菌治疗后缓解。然而，她的右侧输尿管梗阻持续存在，通过输尿管镜检查和清除真菌团块进行处理。
