Huber Livia, Engelhardt Paul F, Riedl Claus
Department of Urology and Andrology, Landesklinikum ThermenregionBaden, Austria.
Department of Urology, Paracelsus Medical University Salzburg, Salzburg, Austria.
Urol Case Rep. 2023 Aug 5;50:102517. doi: 10.1016/j.eucr.2023.102517. eCollection 2023 Sep.
Fungus formation in the urinary tract mainly occurs in immunosuppressed patients, and is a rare and dangerous complication of candiduria that is commonly misdiagnosed. We report a case of intravesical mycetoma associated with hydronephrosis, initially diagnosed as enterovesical fistula. Cystoscopy revealed spongy material within the urinary bladder, and histopathological examination showed Mycetoma of Candida species. The urine culture showed . Endoscopic removal and antifungal therapy with fluconazole was initiated, and no complications occurred during follow-up.
真菌在泌尿道形成主要发生在免疫抑制患者中，是念珠菌尿症一种罕见且危险的并发症，常被误诊。我们报告一例与肾积水相关的膀胱内足菌肿病例，最初被诊断为肠膀胱瘘。膀胱镜检查发现膀胱内有海绵状物质，组织病理学检查显示为念珠菌属足菌肿。尿液培养显示……开始进行内镜切除并使用氟康唑进行抗真菌治疗，随访期间未发生并发症。
