Successful Endoscopic Management of a Renal Fungal Ball using Flexible Ureterorenoscopy
Background. Candida as a cause for urinary tract infection in healthy individuals is unusual. The extension of fungi into the urinary collecting system rarely leads to formation of bezoars or fungus balls. This can in turn lead to hydronephrosis, obstructive uropathy and sepsis. Case Presentation. A...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2019/9241928 |
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| _version_ | 1850104623993454592 |
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| author | Mahmoud Abuelnaga Sadegh Khoshzaban Mahmoud Reda Badr Aasem Chaudry |
| author_facet | Mahmoud Abuelnaga Sadegh Khoshzaban Mahmoud Reda Badr Aasem Chaudry |
| author_sort | Mahmoud Abuelnaga |
| collection | DOAJ |
| description | Background. Candida as a cause for urinary tract infection in healthy individuals is unusual. The extension of fungi into the urinary collecting system rarely leads to formation of bezoars or fungus balls. This can in turn lead to hydronephrosis, obstructive uropathy and sepsis. Case Presentation. An eighty years old gentleman presented to A&E with confusion, severe urosepsis and acute kidney injury. CTKUB demonstrated significant right sided hydronephrosis, perinephric fat stranding and gas in collecting system. A year prior to this admission he has become known to the urology team for a fungal ball that was noted in the upper pole of the right kidney which was picked up following elective flexible ureterorenoscopy for right kidney stones. Flexible ureterorenoscopy and successful retrieval of fungal ball by basket was performed. Conclusion. We advocate this technique to be considered as an alternative to the current treatment offered to patients with fungal ball infections and especially so in cases were a nephrostomy is either contraindicated, unavailable, or not possible. |
| format | Article |
| id | doaj-art-42e4577e6e3c433f8541ad9358c6ca32 |
| institution | DOAJ |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-42e4577e6e3c433f8541ad9358c6ca322025-08-20T02:39:18ZengWileyCase Reports in Urology2090-696X2090-69782019-01-01201910.1155/2019/92419289241928Successful Endoscopic Management of a Renal Fungal Ball using Flexible UreterorenoscopyMahmoud Abuelnaga0Sadegh Khoshzaban1Mahmoud Reda Badr2Aasem Chaudry3Department of Urology, Bedford Hospital NHS Trust, Bedford, UKDepartment of Urology, Bedford Hospital NHS Trust, Bedford, UKDepartment of Urology, Ain Shams University Hospitals, Cairo, EgyptDepartment of Urology, Bedford Hospital NHS Trust, Bedford, UKBackground. Candida as a cause for urinary tract infection in healthy individuals is unusual. The extension of fungi into the urinary collecting system rarely leads to formation of bezoars or fungus balls. This can in turn lead to hydronephrosis, obstructive uropathy and sepsis. Case Presentation. An eighty years old gentleman presented to A&E with confusion, severe urosepsis and acute kidney injury. CTKUB demonstrated significant right sided hydronephrosis, perinephric fat stranding and gas in collecting system. A year prior to this admission he has become known to the urology team for a fungal ball that was noted in the upper pole of the right kidney which was picked up following elective flexible ureterorenoscopy for right kidney stones. Flexible ureterorenoscopy and successful retrieval of fungal ball by basket was performed. Conclusion. We advocate this technique to be considered as an alternative to the current treatment offered to patients with fungal ball infections and especially so in cases were a nephrostomy is either contraindicated, unavailable, or not possible.http://dx.doi.org/10.1155/2019/9241928 |
| spellingShingle | Mahmoud Abuelnaga Sadegh Khoshzaban Mahmoud Reda Badr Aasem Chaudry Successful Endoscopic Management of a Renal Fungal Ball using Flexible Ureterorenoscopy Case Reports in Urology |
| title | Successful Endoscopic Management of a Renal Fungal Ball using Flexible Ureterorenoscopy |
| title_full | Successful Endoscopic Management of a Renal Fungal Ball using Flexible Ureterorenoscopy |
| title_fullStr | Successful Endoscopic Management of a Renal Fungal Ball using Flexible Ureterorenoscopy |
| title_full_unstemmed | Successful Endoscopic Management of a Renal Fungal Ball using Flexible Ureterorenoscopy |
| title_short | Successful Endoscopic Management of a Renal Fungal Ball using Flexible Ureterorenoscopy |
| title_sort | successful endoscopic management of a renal fungal ball using flexible ureterorenoscopy |
| url | http://dx.doi.org/10.1155/2019/9241928 |
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