Beilke M A, Kirmani N
Department of Medicine, Medical College of Wisconsin, Milwaukee.
Br J Urol. 1988 Jul;62(1):7-10. doi: 10.1111/j.1464-410x.1988.tb04255.x.
Fungal pyelonephritis caused by Candida species and Torulopsis without evidence of systemic organ involvement is uncommon. Most reported cases have been in diabetic females or in patients on immunosuppressive drugs. We report 3 cases of elderly men who had fungal pyelonephritis presumed secondary to obstructive uropathy. All subsequently developed fungaemia. Two were managed successfully with percutaneous or ureteric stents and systemic antifungal therapy; the third died despite systemic amphotericin B.
由念珠菌属和隐球菌引起的真菌性肾盂肾炎，若无全身器官受累证据则较为罕见。多数报道病例见于糖尿病女性或使用免疫抑制药物的患者。我们报告3例老年男性真菌性肾盂肾炎病例，推测继发于梗阻性尿路病。所有患者随后均发生真菌血症。2例经经皮或输尿管支架置入及全身抗真菌治疗成功治愈；第3例尽管接受了全身两性霉素B治疗仍死亡。
