Davis Niall F, Smyth Lisa G, Mulcahy Elizabeth, Scanlon Tim, Casserly Liam, Flood Hugh D
Department of Urology, Mid-Western Regional Hospital, Dooradoyle, Limerick, Ireland.
Can Urol Assoc J. 2013 May-Jun;7(5-6):E355-8. doi: 10.5489/cuaj.1214.
Candida albicans is a fungus that can cause opportunistic urinary tract infections in immunocompromised patients. Disseminated fungaemia secondary to Candida albicans is associated with considerable mortality and therefore merits aggressive treatment. Diagnostic investigations for urosepsis and disseminated fungaemaia secondary to Candida albicans include positive urine and blood cultures. Herein, we describe an extremely unusual case of disseminated fungaemia associated with an obstructive fungus-ball in the distal ureter of an immunosuppressed patient. We also describe a novel application of an established endourological technique for managing this clinical scenario and discuss appropriate perioperative management strategies.
白色念珠菌是一种可在免疫功能低下患者中引起机会性尿路感染的真菌。继发于白色念珠菌的播散性真菌血症与相当高的死亡率相关，因此值得积极治疗。白色念珠菌继发的泌尿道感染和播散性真菌血症的诊断性检查包括尿液和血液培养阳性。在此，我们描述了一例免疫抑制患者远端输尿管内阻塞性真菌球伴播散性真菌血症的极其罕见病例。我们还描述了一种成熟的腔内泌尿外科技术在处理这一临床情况中的新应用，并讨论了适当的围手术期管理策略。
