[急性肾衰竭与真菌球：一例报告]

[Acute renal failure and fungus ball: A case report].

作者信息

Aloui Sabra, Gorcii Mohamed, Skhiri Hbib, Bouraoui Samia, Frih Ameur, Ben Dhia Nasr, Elmay Mezri

机构信息

Service de néphrologie, CHU de Monastir, Monastir 5000, Tunisie.

出版信息

Nephrol Ther. 2010 Jun;6(3):171-2. doi: 10.1016/j.nephro.2010.02.002. Epub 2010 Apr 20.

DOI:10.1016/j.nephro.2010.02.002

PMID:20409771

Abstract

Fungus ball is rarely associated with acute renal failure (ARF). We report the case of a 65-year-old diabetic patient who has been admitted for a right kidney infection. Urinary exam showed a leucocyturia with a negative urine culture. Ultrasonography showed pelvicaliceal dilation. Nephroscopy revealed a fungal material in ureter. Culture of this material was positive for Candida tropicalis. After endoscopic and antifongic therapy, the serum creatinin decreased from 336 micromol/L to 150 micromol/L, indicating the good evolution of his renal function.

摘要

真菌球很少与急性肾衰竭（ARF）相关。我们报告一例65岁糖尿病患者，因右肾感染入院。尿液检查显示白细胞尿，尿培养阴性。超声检查显示肾盂肾盏扩张。肾镜检查发现输尿管内有真菌物质。该物质培养热带念珠菌阳性。经过内镜和抗真菌治疗后，血清肌酐从336微摩尔/升降至150微摩尔/升，表明其肾功能好转。