Thomas Lewis, Tracy Chad R
Department of Urology, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242, USA.
Department of Urology, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242, USA.
Urol Clin North Am. 2015 Nov;42(4):473-83. doi: 10.1016/j.ucl.2015.05.010. Epub 2015 Jul 15.
Funguria, and particularly candiduria, is an increasingly common problem encountered by the practicing urologist and is associated with high-acuity care, indwelling catheters, diabetes mellitus, antibiotic and steroid use, and urinary tract disease. In most cases, candiduria is asymptomatic and follows a benign clinical course with antifungal therapy only required in symptomatic or high-risk cases, because spontaneous resolution is common in patients with asymptomatic colonization. Rarely, invasive infections can occur (such as fungus balls or renal abscesses) and may require percutaneous and endoscopic interventions. This article highlights the workup and treatment of funguria and its related urologic manifestations.
真菌尿，尤其是念珠菌尿，是执业泌尿科医生日益常见的问题，与重症监护、留置导管、糖尿病、抗生素和类固醇的使用以及泌尿系统疾病有关。在大多数情况下，念珠菌尿无症状，临床过程良性，仅在有症状或高危病例中需要抗真菌治疗，因为无症状定植患者中自发缓解很常见。很少会发生侵袭性感染（如真菌球或肾脓肿），可能需要经皮和内镜干预。本文重点介绍真菌尿及其相关泌尿系统表现的检查和治疗。
