Urinary Tract Fungal Ball in a Single Kidney After Total Nephroureterocystectomy

Overview

Journal IJU Case Rep

Date 2024 Sep 3

PMID 39224685

Authors

Yoshinori Nakano

Yohei Sekino

Kenshiro Takemoto

Takeshi Ueno

Shogo Fujii

Hiroyuki Kitano

Keisuke Hieda

Shinya Ohara

Nobuyuki Hinata

Affiliations

Soon will be listed here.

Abstract

Introduction: Fungal balls in the urinary tract are rare but dangerous complications of candiduria. Here, we report a case of a urinary tract fungal ball in a single kidney after total nephroureterocystectomy.

Case Presentation: The patient was an 80-year-old male. He had a history of pyelonephritis, and his ureteral stent was regularly replaced. He was admitted to the hospital with a chief complaint of urinary tract obstruction, and a 50-mm-sized mass was found within the renal pelvis. Because the ureteral stent frequently became obstructed, the mass was removed percutaneously. was detected on the tissue culture results, and the mass was diagnosed as a fungal ball.

Conclusion: Appropriate urinary drainage methods for fungal balls vary among patients, and it is important to select an appropriate method based on the accumulated number of cases.

References

Shimada S, Nakagawa H, Shintaku I, Saito S, Arai Y . Acute renal failure as a result of bilateral ureteral obstruction by Candida albicans fungus balls. Int J Urol. 2006; 13(8):1121-2. DOI: 10.1111/j.1442-2042.2006.01509.x. View

Jegannathan D, Ramanathan K . Renal fungal ball-two case reports and review of literature. BJR Case Rep. 2018; 2(3):20150247. PMC: 6243339. DOI: 10.1259/bjrcr.20150247. View

Liu J, Jiang Y, Liu Z, Song Q, Li Z . A Case of Misdiagnosed as Upper Urinary Tract Obstruction Caused by the Fungal Ball. Infect Drug Resist. 2022; 15:6109-6114. PMC: 9585907. DOI: 10.2147/IDR.S380291. View

Cousin L, Berre M, Launay-Vacher V, Izzedine H, Deray G . Dosing guidelines for fluconazole in patients with renal failure. Nephrol Dial Transplant. 2003; 18(11):2227-31. DOI: 10.1093/ndt/gfg363. View

Abdelhaleem Abdeljaleel O, Alnadhari I, Mahmoud S, Khachatryan G, Salah M, Ali O . Treatment of Renal Fungal Ball with Fluconazole Instillation Through a Nephrostomy Tube: Case Report and Literature Review. Am J Case Rep. 2018; 19:1179-1183. PMC: 6180954. DOI: 10.12659/AJCR.911113. View

Sato M, Yoneyama S, Yanagisawa M, Hirai K, Takizawa H, Fukuda T . [A CASE REPORT OF FUNGUS BALL FOUND DURING TRANSURETHRAL URETEROLITHOTOMY]. Nihon Hinyokika Gakkai Zasshi. 2020; 110(1):56-59. DOI: 10.5980/jpnjurol.110.56. View

Chung B, Chang S, Kim S, Choi H . Successfully treated renal fungal ball with continuous irrigation of fluconazole. J Urol. 2001; 166(5):1835-6. View

Irby P, Stoller M, McAninch J . Fungal bezoars of the upper urinary tract. J Urol. 1990; 143(3):447-51. DOI: 10.1016/s0022-5347(17)39987-1. View

Altmannsberger P, Holler E, Andreesen R, Krause S . Amphotericin B deoxycholate: no significant advantage of a 24 h over a 6 h infusion schedule. J Antimicrob Chemother. 2007; 60(1):180-2. DOI: 10.1093/jac/dkm147. View

10.

Lee S . An Aspergilloma Mistaken for a Pelviureteral Stone on Nonenhanced CT: A Fungal Bezoar Causing Ureteral Obstruction. Korean J Urol. 2010; 51(3):216-8. PMC: 2855446. DOI: 10.4111/kju.2010.51.3.216. View

11.

Praz V, Burruni R, Meid F, Wisard M, Jichlinski P, Tawadros T . Fungus ball in the urinary tract: A rare entity. Can Urol Assoc J. 2014; 8(1-2):E118-20. PMC: 3926928. DOI: 10.5489/cuaj.1254. View

12.

Sundi D, Tseng K, Mullins J, Marr K, Hyndman M . Invasive fungal bezoar requiring partial cystectomy. Urology. 2011; 79(2):e21-2. DOI: 10.1016/j.urology.2011.05.058. View

13.

Thomas L, Tracy C . Treatment of Fungal Urinary Tract Infection. Urol Clin North Am. 2015; 42(4):473-83. DOI: 10.1016/j.ucl.2015.05.010. View

14.

Kauffman C . Diagnosis and management of fungal urinary tract infection. Infect Dis Clin North Am. 2014; 28(1):61-74. DOI: 10.1016/j.idc.2013.09.004. View

15.

Wainstein M, GRAHAM Jr R, Resnick M . Predisposing factors of systemic fungal infections of the genitourinary tract. J Urol. 1995; 154(1):160-3. View