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

Mycoses. 2018 Jun;61(6):410-416. doi: 10.1111/myc.12745. Epub 2018 Feb 12.

Abstract

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.

Keywords: Candida albicans; antifungal agents; bezoars; fungus ball; retroperitoneal fibrosis; rituximab.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Antifungal Agents / therapeutic use
  • Candida albicans / drug effects
  • Candida albicans / isolation & purification*
  • Candidiasis / complications
  • Candidiasis / drug therapy
  • Candidiasis / microbiology*
  • Disease Management
  • Fluconazole / therapeutic use
  • Humans
  • Kidney / microbiology*
  • Kidney / pathology
  • Male
  • Rare Diseases / complications
  • Rare Diseases / drug therapy
  • Rare Diseases / microbiology*
  • Retroperitoneal Fibrosis / complications*
  • Retroperitoneal Fibrosis / drug therapy
  • Retroperitoneal Fibrosis / microbiology
  • Treatment Outcome
  • Urinary Tract Infections / complications
  • Urinary Tract Infections / drug therapy
  • Urinary Tract Infections / microbiology*

Substances

  • Antifungal Agents
  • Fluconazole