Fungal Infections of the Genitourinary System: Manifestations, Diagnosis, and Treatment

Evaluation of Human Body Fluids for the Diagnosis of Fungal Infections

“…Invasive diagnostic procedures such as bronchoscopy, thoracoscopy, percutaneous catheter drainage, or open surgery are usually necessary to confirm the diagnosis but are not possible in some critical patients. For pyogenic abscesses, percutaneous catheter drainage is an established technique with a success rate of 80%–90% [8, 9], although in deep systemic mycosis of poorly localized nature, the success rate is reported to be low [10]. …”

Fungal Infections of the Urinary Tract

“…However, at autopsy, kidney lesions are often found in patients who have disseminated histoplasmosis. 18 Patients are usually asymptomatic in regard to urinary symptoms. Rarely, individual cases of testicular abscesses, epididymitis, and prostate nodules have been reported.…”

“…However, individual case reports have noted genitourinary infections due to a variety of molds, including the Zygomycetes, Aspergillus, Penicillium, and Paecilomyces. 18 The most common mold infection is aspergillosis, as elsewhere in the body. Hematogenous spread to the kidney with invasive disease in immunosuppressed patients results in numerous renal microabscesses and infarcts.…”

“…In patients with disseminated blastomycosis, involvement of the genitourinary tract occurs in as many as a third of cases and usually is manifested by prostate or epididymal infection. 18 In most cases, this involvement is discovered…”

Prise en charge des mycoses urinaires

“…), ou anomalie organique ou fonctionnelle de l'arbre urinaire (sonde urinaire, etc.). Trois formes cliniques de mycose urinaire se distinguent : la colonisation fongique -la plus fréquente -, la cystite fongique, et la pyélonéphrite fongique, rare mais reflet d'une infection grave [21]. La distinction entre colonisation et infection est purement clinique : il n'existe pas de valeur seuil de levururie entre ces 2 entités [5,16].…”