Rodrigo Guanter V, Serrano Durbá A, Carrascosa Lloret V, Santolaya García J I, Sánchez Sanchís M, Pastor Lence J C, San Juan de la Orden C
Servicio de Urología, Hospital Universitario Dr. Peset, Valencia.
Actas Urol Esp. 1998 Apr;22(4):374-6.
Fungal urinary tract infections are due to candida albicans as first responsible germ. This sporulated oval fungus divides itself by gemmation and produces pseudohyphas when it is spread in culture mediums, organic tissues or their exudates. The most frequent predisposing factor is diabetes mellitus. Others predisposing factors are: long antibiotic administration, corticoids, immunosuppressors, neoplasias, neurogenic bladder, and catheter or foreign bodies into the urinary tract. Bezoar formation is a rare complication that sometimes produces obstructive uropathy. Although Candida albicans is the most frequent observed germ in bezoars, Candida tropicalis, Penicillium, Aspergillus, Mucor y Turolopsis have been found as well. We present the case of a diabetic patient with a bilateral bezoar formation into the upper urinary tract due to Candida albicans. Clinical features, diagnosis and treatment are described emphasizing in the are bilateral onset.
真菌性尿路感染主要由白色念珠菌引起。这种形成孢子的椭圆形真菌通过出芽进行自我分裂，当它在培养基、有机组织或其分泌物中扩散时会产生假菌丝。最常见的易感因素是糖尿病。其他易感因素包括：长期使用抗生素、皮质类固醇、免疫抑制剂、肿瘤、神经源性膀胱以及尿路中的导管或异物。粪石形成是一种罕见的并发症，有时会导致梗阻性尿路病。虽然白色念珠菌是粪石中最常观察到的病菌，但热带念珠菌、青霉菌、曲霉菌、毛霉菌和土曲霉也有发现。我们报告一例因白色念珠菌导致双侧上尿路粪石形成的糖尿病患者病例。描述了临床特征、诊断和治疗，并着重强调了双侧发病情况。
