[Acute renal failure and fungus ball: A case report].

Nephrol Ther

Service de néphrologie, CHU de Monastir, Monastir 5000, Tunisie.

Published: June 2010

AI Article Synopsis

  • A 65-year-old diabetic patient was admitted with a right kidney infection, presenting with high serum creatinine levels and negative urine cultures.
  • An ultrasound indicated pelvicaliceal dilation, and nephroscopy revealed fungal material in the ureter, which was identified as Candida tropicalis.
  • Post treatment with endoscopic procedures and antifungal therapy, the patient's renal function improved significantly, evidenced by a drop in serum creatinine levels from 336 to 150 micromol/L.

Article Abstract

Fungus ball is rarely associated with acute renal failure (ARF). We report the case of a 65-year-old diabetic patient who has been admitted for a right kidney infection. Urinary exam showed a leucocyturia with a negative urine culture. Ultrasonography showed pelvicaliceal dilation. Nephroscopy revealed a fungal material in ureter. Culture of this material was positive for Candida tropicalis. After endoscopic and antifongic therapy, the serum creatinin decreased from 336 micromol/L to 150 micromol/L, indicating the good evolution of his renal function.

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http://dx.doi.org/10.1016/j.nephro.2010.02.002DOI Listing

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