Korean J Urogenit Tract Infect Inflamm.  2014 Oct;9(2):115-118. 10.14777/kjutii.2014.9.2.115.

Bacterial Urosepsis by a Fungal Ball Mimicking a Ureteral Stone

• You JH
• Kim MK

• KMID: 1732625
• DOI: http://doi.org/10.14777/kjutii.2014.9.2.115

Abstract

Ureteral obstruction caused by a fungal ball is rare. Diabetes mellitus and immunocompromised conditions constitute the predisposing factors. Urosepsis due to unilateral ureteral obstruction with a fungal ball is extremely rare. The radiologic findings of fungal ball have been described as nonspecific. We report on a female patient with urosepsis that occurred by unilateral ureteral obstruction by a fungal ball, mimicking a ureteral stone. She was managed with systemic antibiotics, percutaneous nephrostomy, and ureteroscopic fungal ball removal.

Keyword

Candidiasis; Sepsis; Ureteral obstruction

MeSH Terms

Anti-Bacterial Agents
Candidiasis
Causality
Diabetes Mellitus
Female
Humans
Nephrostomy, Percutaneous
Sepsis
Ureter*
Ureteral Obstruction
Anti-Bacterial Agents

Figure

• 

  Fig. 1. Antegrade ureterography: a filling defect of the right upper ureter, and hydronephroureterosis, due to radiolucent material.

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  Fig. 2. Computed tomography of abdomen. (A) Hydronephroureterosis on right-side (arrow). (B) Abrupt luminal narrowing, without findings of urinary stone, extrinsic compression, or enhancing mass (arrow).

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  Fig. 3. Ovoid and white colored material: fungal bezoar by Candida albicans. The scale is in centimeters.

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  Fig. 4. Candida spores and pseudohyphae (Grocott-Gomori's methenamine silver, ×200).

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