Unilateral Renal Fungus Ball Caused by

Overview

Journal Med Mycol Case Rep

Publisher Elsevier

Date 2024 Apr 29

PMID 38681664

Authors

Katrina J Villegas

Nagihan Orhun

Sebastian Vera Garces

Sacide S Ozgur

Patrick Michael

Ali Zahran

Daniel Rabinowitz

Affiliations

Soon will be listed here.

Abstract

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.

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