Rare cases of bezoars in the urinary tract of diabetic patients — a review of case reports

Jonczyk, Paweł; Szczerba, Kinga; Kandefer, Beata; Potempa, Magdalena; Tynior, Wojciech; Kajdaniuk, Dariusz

doi:10.5603/dk.2016.0023

Cited by 2 publications

(3 citation statements)

References 13 publications

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“…Similar proportions of patients were also diabetic. Chronic hyperglycemia weakens the immune defence mechanism and thus predisposes to fungal infections among diabetic patients . In addition, long‐term diabetes leads to bladder dysfunction or diabetic cystopathy, which is associated with impaired bladder emptying and hence high risk of urinary tract infections.…”

Section: Discussionmentioning

confidence: 99%

“…Renal fungus ball or bezoar is a mixture of fungal cells and sloughed renal epithelial cells which form a mass capable of obstructing the urinary tract . The formation of fungus ball usually results from either ongoing fungal infection in the urinary tract or as part of systemic infection . Candida species is the main pathogen of renal fungus ball , although infections due to other species such as Aspergillus and Mucorales have been reported .…”

Section: Introductionmentioning

confidence: 99%

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Renal fungus ball in a patient with retroperitoneal fibrosis: Unique complication in a rare disease

Alobaid

Faty

El-Nahas

et al. 2018

Mycoses

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Summary Candida fungus ball is a rare presentation of urinary tract infections among adult patients and is associated with considerable morbidity. Because clinical signs are not specific, diagnosis is often delayed. Furthermore, treatment is occasionally difficult, and the approach to such cases varies widely among different centers. In this report, we describe a patient with retroperitoneal fibrosis who developed a renal fungus ball. Management of this challenging case is discussed, and review of the literature is presented.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Renal fungus ball in a patient with retroperitoneal fibrosis: Unique complication in a rare disease

Alobaid

Faty

El-Nahas

et al. 2018

Mycoses

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“…Previous reports on fungal urosepsis have identified diabetes mellitus and immunosuppression as major risk factors for this disease [ 7 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

Fungal Bezoar: A Rare Cause of Ureteral Obstruction

Zeineddine

Mansour

Bitar

et al. 2017

Case Reports in Infectious Diseases

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A 52-year-old male, with diabetes mellitus and alcoholic liver disease, presented to the Emergency Room for right flank pain of 3 days' duration, associated with dysuria. Physical examination revealed right flank tenderness with fever and hypotension; laboratory findings showed acute kidney injury and large blood and leucocytes in the urine. A CT abdomen and pelvis showed hydronephrosis of the right collecting system of a horseshoe kidney with air and hyperdense debris in the renal pelvis. Patient was treated for multisensitive Proteus mirabilis emphysematous pyelonephritis, and a right nephrostomy tube was inserted. Symptoms recurred in 4 weeks, and repeated urine culture grew Candida albicans and CT scan showed same high density material within the right moiety of the horseshoe kidney. Patient underwent ureteroscopy, and a white fluffy material was aspirated from the right renal pelvis. Pathology of the aspirate confirmed the presence of fungal balls. Patient was given 2 weeks of oral fluconazole. Fungal pyelonephritis is unusual and difficult to treat. Candida species is responsible for the clear majority of the cases. A fungus ball should be managed with surgical and medical therapy. This patient had an endoscopic procedure to remove the fungus ball and received fluconazole. His symptoms resolved and urine culture was done before termination of the treatment was negative.

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Rare cases of bezoars in the urinary tract of diabetic patients — a review of case reports

Abstract: ABSTRACT

Cited by 2 publications

References 13 publications

Renal fungus ball in a patient with retroperitoneal fibrosis: Unique complication in a rare disease

Renal fungus ball in a patient with retroperitoneal fibrosis: Unique complication in a rare disease

Fungal Bezoar: A Rare Cause of Ureteral Obstruction

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