Unusual, serious urinary tract infection caused by Candida
Berczi Csaba dr.1, Mátyus János dr.2, Markóth Csilla dr.2, Somogyi Tamás dr.1, Kerekes György dr.2, Flaskó Tibor dr.1
1Debreceni Egyetem Általános Orvostudományi Kar, Urológiai Tanszék, Debrecen
(intézetvezető: Flaskó Tibor dr.)
2Debreceni Egyetem Általános Orvostudományi Kar, Belgyógyászati Intézet, Debrecen
(intézetvezető: Balla József dr.)
Introduction: The authors report a case of an unusual, life-threatening urinary tract infection caused by Candida infection.
Case report: The 71-year-old male diabetic patient previously was treated with urosepsis caused by ureteral stone. Double J catheter was inserted followed by percutaneous stone removal and the patient had a permanent catheter for a long period due to stroke. At present he was admitted to another clinic with a febrile condition and due to this antibiotic treatment was administered. Abdominal ultrasound followed by CT scan described a 5 cm mass in the bladder and showed hydronephrosis in the left kidney. The mass in the bladder was removed via transurethral intervention and a double J catheter was inserted into the left kidney. Histology showed fungal colonies. After that in the intensive care unit he received targeted antibiotic and antimycotic treatment. His condition temporarily improved and then worsened, so a nephrectomy was performed with a vital indication. Thereafter, treatment of the critically ill patient with septic shock was resumed in the intensive care unit. Finally, the combined treatment resulted in the patient’s recovery.
Conclusion: The authors report successful combined treatment of an unusual, physically extensive Candida infection which caused urosepsis and multiorgan failure, in the development of which several risk factors can be blended.