由……引起的单侧肾真菌球
Unilateral renal fungus ball caused by .
作者信息
Villegas Katrina J, Orhun Nagihan, Vera Garces Sebastian, Ozgur Sacide S, Michael Patrick, Zahran Ali, Rabinowitz Daniel
机构信息
St. Joseph's University Medical Center, Department of Internal Medicine, 703 Main St, Paterson, NJ, 07503, USA.
St. George's University School of Medicine, Grenada.
出版信息
Med Mycol Case Rep. 2024 Apr 14;44:100649. doi: 10.1016/j.mmcr.2024.100649. eCollection 2024 Jun.
A 46-year-old diabetic woman with unilateral renal fungus ball was successfully treated with antifungal therapy, endoscopic extraction and ureteral stent placement. The patient was initially treated for a right staghorn calculus, thereafter developed urinary symptoms. Imaging revealed distal left ureter filling defects and a previous stent at the ureteropelvic junction. Urine culture confirmed sensitive to Micafungin. Bilateral ureteroscopy facilitated the extraction of a left renal pelvis fungus ball. This case underscores the challenges in diagnosing fungal UTIs in patients with predisposing factors, and highlights a combined medical and surgical approach for effective treatment of renal fungus balls.
一名46岁的糖尿病女性患有单侧肾真菌球，通过抗真菌治疗、内镜下取出和输尿管支架置入术成功治愈。该患者最初因右侧鹿角形结石接受治疗，此后出现泌尿系统症状。影像学检查发现左输尿管远端充盈缺损以及输尿管肾盂连接处有一个先前置入的支架。尿培养证实对米卡芬净敏感。双侧输尿管镜检查有助于取出左肾盂真菌球。该病例强调了在有易感因素的患者中诊断真菌性尿路感染的挑战，并突出了药物和手术联合治疗肾真菌球的有效性。
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