Walzer Y, Bear R A
Urology. 1983 Mar;21(3):295-7. doi: 10.1016/0090-4295(83)90090-0.
In a diabetic renal transplant recipient a nephrocutaneous fistula developed after percutaneous renal graft biopsy, and ureteral obstruction due to Candida albicans fungus balls was demonstrated. Local irrigation with amphotericin B, systemic antifungal therapy, and rigid blood sugar control led to rapid clearing of the fungal infections. This cause of renal transplant insufficiency should be considered prior to renal biopsy in diabetic patients with yeast forms in the urine.
在一名糖尿病肾移植受者中，经皮肾移植活检后出现了肾皮肤瘘，并证实存在由白色念珠菌真菌球导致的输尿管梗阻。两性霉素B局部灌洗、全身抗真菌治疗以及严格的血糖控制使真菌感染迅速清除。对于尿液中有酵母形态的糖尿病患者，在进行肾活检之前应考虑这种导致肾移植功能不全的原因。
