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急性梗阻性真菌球性肾盂肾炎一例报告

Acute obstructive fungus ball pyelonephritis with : A case report.

作者信息

Radinasoa Rajo Païdia, Andrianiaina Armel Mamihaja, Randriamamizoly Haingotiana, Andrianarivony Luck Franscisca Adrien, Randriamarotia Harilalaina Willy Franck, Vololontiana Hanta Marie Danielle

机构信息

Departement of Internal Medecine «Pavillon Spécial B» University Hospital of Antananarivo Antananarivo Madagascar.

Departement of Nephrology University Hospital of Antananarivo Antananarivo Madagascar.

出版信息

Clin Case Rep. 2023 Jun 9;11(6):e7484. doi: 10.1002/ccr3.7484. eCollection 2023 Jun.

Abstract

KEY CLINICAL MESSAGE

Fungal lithiasis is a rare but serious complication of candiduria. Frequent use of broad-spectrum antibiotics is a contributing factor in predisposed subjects. Two CBEUs are required to confirm the diagnosis of candiduria. Anti-fungal is found effective to eradicate the fungus ball besides surgery.

ABSTRACT

Lithiasis by fungus ball is a serious complication of candiduria. Our case was a 58-year-old man who presented an acute obstructive pyelonephritis. Ultrasound revealed a left ureteral lithiasis. Biological examination revealed . Antifungal was effective with good evolution. Broad-spectrum antibiotic therapy is one favoring factor.

摘要

关键临床信息

真菌结石是念珠菌尿症一种罕见但严重的并发症。在易感人群中频繁使用广谱抗生素是一个促成因素。确诊念珠菌尿症需要两次尿培养。除手术外,抗真菌药物被发现对根除真菌球有效。

摘要

真菌球性结石是念珠菌尿症的严重并发症。我们的病例是一名58岁男性,表现为急性梗阻性肾盂肾炎。超声检查发现左输尿管结石。生物学检查显示……抗真菌治疗效果良好。广谱抗生素治疗是一个促进因素。

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