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https://read.qxmd.com/read/37601833/intravesical-mycetoma-misdiagnosed-as-enterovesical-fistula
#1
Livia Huber, Paul F Engelhardt, Claus Riedl
Fungus formation in the urinary tract mainly occurs in immunosuppressed patients, and is a rare and dangerous complication of candiduria that is commonly misdiagnosed. We report a case of intravesical mycetoma associated with hydronephrosis, initially diagnosed as enterovesical fistula. Cystoscopy revealed spongy material within the urinary bladder, and histopathological examination showed Mycetoma of Candida species. The urine culture showed Candida tropicalis . Endoscopic removal and antifungal therapy with fluconazole was initiated, and no complications occurred during follow-up...
September 2023: Urology Case Reports
https://read.qxmd.com/read/36483356/templated-microbiology-comments-with-candiduria-to-enhance-antimicrobial-stewardship
#2
JOURNAL ARTICLE
Weston R Schartz, Nicholas Bennett, Laura Aragon, Kevin Kennedy, Austin Wilson, Sarah Boyd, Matthew Humphrey, Cynthia Essmyer
OBJECTIVE: To evaluate the effect of templated microbiology reporting comments on antifungal utilization in patients with candiduria. DESIGN: In this retrospective, quasi-experimental study, we evaluated a preimplementation cohort (June 2018-January 2019) compared with a postimplementation cohort (June 2019-January 2020). SETTING: A multisite health system including 1 academic hospital and 4 community hospitals. PATIENTS: Patients were aged ≥18 years, were hospitalized, and had candiduria documented at least once during their admission...
2022: Antimicrob Steward Healthc Epidemiol
https://read.qxmd.com/read/36064046/impact-of-urinary-tract-infection-causative-microorganisms-on-the-progression-to-bloodstream-infection-a-propensity-score-matched-analysis
#3
JOURNAL ARTICLE
Min Hyuk Choi, Dokyun Kim, Yongjung Park, Seok Hoon Jeong
OBJECTIVES: We aimed to determine the risk factors for the progression of urinary tract infection (UTI) to bloodstream infection (BSI) and to evaluate the mortality-associated factors in patients with urinary tract-related BSI (UT-BSI). METHODS: A propensity score-matched study was conducted using clinical data from all adult patients with UTIs in two South Korean hospitals. RESULTS: A total of 84406 patients with UTIs were enrolled. The relative incidence of UTIs caused by Escherichia coli decreased along with an increase in the incidence of Candida species infections during the study period...
September 2, 2022: Journal of Infection
https://read.qxmd.com/read/34511375/commentary-to-ultrasonographic-evaluation-of-the-children-with-candiduria-for-the-fungal-ball-is-it-necessary
#4
JOURNAL ARTICLE
Kathy Huen
No abstract text is available yet for this article.
August 17, 2021: Journal of Pediatric Urology
https://read.qxmd.com/read/34420878/-infectious-emergencies-in-urology
#5
JOURNAL ARTICLE
E Seizilles de Mazancourt, M Vallée, A Sotto, C Le Goux, A Dihn, A Therby, R Boissier, P H Savoie, J A Long, F Bruyere
OBJECTIVE: To report the nature, diagnosis and therapeutic strategy of infectious emergencies in urology. MATERIAL AND METHODS: Bibliographic research from Pubmed, Embase, and Google scholar in July 2021. A synthesis of the guidelines of national infectious diseases societies. RESULTS: Urosepsis and complicated urinary tract infection have a standardized definition. Diagnosis and therapeutic strategy are presented for upper tract urinary infection, male urinary infection, healthcare associated urinary infection, symptomatic canduria and urinary infections of the elderly...
August 19, 2021: Progrès en Urologie
https://read.qxmd.com/read/34389232/ultrasonographic-evaluation-of-the-children-with-candiduria-for-the-fungal-ball-is-it-necessary
#6
JOURNAL ARTICLE
Fatma Devrim, Dorukhan Besin, Rüya Colak, Aslı Kantar, Yelda Sorguc, Gamze Gülfidan, Nida Dincel, Akgün Oral, Sebnem Calkavur, Hasan Ağın, Münevver Hosgör, Nuri Bayram, İlker Devrim
INTRODUCTION: Imaging of the urinary tract by ultrasonography (USG) or computerized tomography scanning is recommended for detecting structural abnormalities, hydronephrosis, abscesses, emphysematous pyelonephritis, or fungus ball formation. Limited studies on the epidemiology and the imaging results of candiduria were present in the children. AIM: This study aimed to evaluate the results of renal ultrasonography imaging in hospitalized pediatric patients with candiduria...
October 2021: Journal of Pediatric Urology
https://read.qxmd.com/read/33062372/a-rare-case-of-urinary-tract-fungal-ball-leading-to-fungemia-and-bilateral-chorioretinitis
#7
Christopher Ferari, Chad Crigger, Chad Morley
BACKGROUND: Fungemia due to obstructive urinary tract fungal ball is exceedingly rare. These patients often have multiple predisposing conditions, including diabetes or antimicrobial exposure. While candiduria can be relatively common in this population, urinary tract fungal balls are a rare entity. Hospitalists should be aware of this rare complication in patients presenting with funguria. Case Presentation . We present a case of a 44-year-old male with type II diabetes, chronic hepatitis C secondary to injection drug use, and chronic kidney disease who developed a urinary tract fungal ball leading to fungemia and subsequent bilateral chorioretinitis, additionally complicated by emphysematous cystitis and pyelonephritis...
2020: Case Reports in Urology
https://read.qxmd.com/read/31654220/candida-urinary-tract-infections-in-adults
#8
REVIEW
Zekaver Odabasi, Ali Mert
Candiduria is commonly seen in hospitalized patients and most of the patients are asymptomatic, but it may be due to cystitis, pyelonephritis, prostatitis, epididymo-orchitis or disseminated candidiasis. Major risk factors are diabetes mellitus, indwelling urinary catheters, use of broad-spectrum antibiotics, urinary obstruction, and admission to intensive care units. Candida urinary tract infections can be caused by hematogenous spread following candidemia, or retrograde route via the urethra. The presence of Candida species in urine in asymptomatic patients does not warrant antifungal therapy except neutropenic patients, very low-birth-weight infants and patients undergoing urologic procedures...
November 2020: World Journal of Urology
https://read.qxmd.com/read/30761087/candidemia-following-ureteric-stent-placement-in-a-patient-with-type-2-diabetes-treated-with-canagliflozin
#9
Rishi Raj, Jon Hendrie, Aasems Jacob, Derick Adams
A 38-year-old female patient with well-controlled type 2 diabetes mellitus treated with canagliflozin underwent ureteral stent placement for obstructive renal calculi. Ten days following ureteroscopy and ureteral stenting, she developed fevers and blood cultures grew Candida glabrata ( C. glabrata ). The patient was successfully treated with an extended course of broad-spectrum antibiotics and antifungal agents. The clinical presentation of candidemia is indistinguishable from bacteremia resulting in delay in diagnosis and treatment...
2019: Frontiers in Endocrinology
https://read.qxmd.com/read/29421775/increased-urine-interleukin-17-and-interleukin-22-levels-in-patients-with-candidal-urinary-tract-infection
#10
JOURNAL ARTICLE
Kazem Ahmadikia, Parivash Kordbacheh, Pejman Shadpour, Sanam Nami, Abdolfattah Sarrafnejad, Mahmood Mahmoodi, Mahin Safara, Mohsen Rokni, Mohammad Yarahmadi, Shahram Mahmoudi, Mahdis Khezri, Farideh Zaini
INTRODUCTION: Candiduria is common in the hospitalized patients. This study aimed to quantify interleukin (IL)-17 and IL-22 levels in urine of candiduric patients. MATERIALS AND METHODS: A case-control study was conducted on inpatients at Hashemi Nejad Kidney Center. Thirty-four patients were identified with Candida species in their urine samples (> 103 colony-forming units per milliliter and presence of Candida species only). Urine samples with concomitant infections were excluded...
January 2018: Iranian Journal of Kidney Diseases
https://read.qxmd.com/read/28329281/echinocandins-compared-to-fluconazole-for-candidemia-of-a-urinary-tract-source-a-propensity-score-analysis
#11
MULTICENTER STUDY
Guillermo Cuervo, Carolina Garcia-Vidal, Mireia Puig-Asensio, Antonio Vena, Yolanda Meije, Mario Fernández-Ruiz, Eva González-Barberá, María José Blanco-Vidal, Adriana Manzur, Celia Cardozo, Carlota Gudiol, José Miguel Montejo, Javier Pemán, Josefina Ayats, Jose María Aguado, Patricia Muñoz, Francesc Marco, Benito Almirante, Jordi Carratalà
BACKGROUND: Whether echinocandins could be used to treat candidemia of a urinary tract source (CUTS) is unknown. We aimed to provide current epidemiological information of CUTS and to compare echinocandin to fluconazole treatment on CUTS outcomes. METHODS: A multicenter study of adult patients with candidemia was conducted in 9 hospitals. CUTS was defined as a candidemia with concomitant candiduria by the same organism associated with significant urological comorbidity...
May 15, 2017: Clinical Infectious Diseases
https://read.qxmd.com/read/27590778/-candiduria-what-now-therapy-of-urinary-tract-infections-with-candida
#12
JOURNAL ARTICLE
H Hof
BACKGROUND: Yeasts are found in urine specimens relatively often, especially in the elderly and patients under treatment with broad spectrum antibiotics, i. e. especially in intensive care unit (ICU) patients. In some cases, the number of pathogens is very high, i. e. >105 /ml. The clinical relevance of detecting Candida in urine is difficult to assess. In the German S3 guidelines it is apodictically stated that an ascending infection of the urinary tract by yeasts does not occur but this may undoubtedly happen in certain instances in patients at risk, for example in the elderly, in diabetic persons and in the case of foreign bodies in the urinary tract...
February 2017: Der Urologe. Ausg. A
https://read.qxmd.com/read/26876397/frequency-of-candida-albicans-in-patients-with-funguria
#13
JOURNAL ARTICLE
Sana Jamil, Naz Jamil, Uzma Saad, Saleem Hafiz, Sualleha Siddiqui
OBJECTIVE: To determine the frequency of Candida albicansin patients with funguria. STUDY DESIGN: Descriptive cross-sectional study. PLACE AND DURATION OF STUDY: Department of Microbiology, Sindh Institute of Urology and Transplantation, from July to December 2012. METHODOLOGY: Patients’ urine samples with fungus/Candida were included. Candida albicans was identified by the production of tubular structures (germ tubes) on microscopy as per standard procedure followed by inoculation on Chrom agar (Oxoid) and Corn Meal-Tween 80 agar (Oxoid)...
February 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://read.qxmd.com/read/26475944/treatment-of-fungal-urinary-tract-infection
#14
REVIEW
Lewis Thomas, Chad R Tracy
Funguria, and particularly candiduria, is an increasingly common problem encountered by the practicing urologist and is associated with high-acuity care, indwelling catheters, diabetes mellitus, antibiotic and steroid use, and urinary tract disease. In most cases, candiduria is asymptomatic and follows a benign clinical course with antifungal therapy only required in symptomatic or high-risk cases, because spontaneous resolution is common in patients with asymptomatic colonization. Rarely, invasive infections can occur (such as fungus balls or renal abscesses) and may require percutaneous and endoscopic interventions...
November 2015: Urologic Clinics of North America
https://read.qxmd.com/read/26182348/a-controlled-quasi-experimental-study-of-an-educational-intervention-to-reduce-the-unnecessary-use-of-antimicrobials-for-asymptomatic-bacteriuria
#15
MULTICENTER STUDY
Neal Irfan, Annie Brooks, Siraj Mithoowani, Steve J Celetti, Cheryl Main, Dominik Mertz
BACKGROUND: Asymptomatic bacteriuria (ABU) should only be treated in cases of pregnancy or in-patients undergoing urologic procedures; however, unnecessary treatment of ABU is common in clinical practice. OBJECTIVE: To identify risk factors for unnecessary treatment and to assess the impact of an educational intervention focused on these risk factors on treatment of ABU. DESIGN: Quasi-experimental study with a control group. SETTING: Two tertiary teaching adult care hospitals...
2015: PloS One
https://read.qxmd.com/read/25861442/the-susceptibility-patterns-of-candida-species-isolated-from-urine-samples-to-posaconazole-and-caspofungin
#16
JOURNAL ARTICLE
Ali Zarei Mahmoudabadi, Ali Rezaei-Matehkolaei, Fataemeh Ghanavati
BACKGROUND: Candiduria is a rising condition among hospitalized patients and Candida albicans is the most common recovered agent. However, non-albicans Candida species (NACs) such as C. glabrata, C. krusei, C. parapsilosis, and C. tropicalis are also important. Although most Candida species especially C. albicans are sensitive to routinely used antifungals, an increasing trend in resistance has been observed among NACs. OBJECTIVES: The aim of the present study was to detect the susceptibility of Candida strains recovered from candiduria in hospitalized patients against posaconazole and caspofungin...
March 2015: Jundishapur Journal of Microbiology
https://read.qxmd.com/read/21514533/-recommendations-of-the-infectious-disease-committee-of-the-french-association-of-urology-diagnosis-treatment-and-monitoring-candiduria
#17
JOURNAL ARTICLE
T Fraisse, L Lachaud, A Sotto, J-P Lavigne, G Cariou, J-P Boiteux, L Escaravage, P Coloby, F Bruyère
The candiduria are frequently encountered in urology. We present the recommendations of the Infectious Diseases Committee of the French Association of Urology for diagnosis, treatment and monitoring of urinary tract infections. C. albicans is the most frequently isolated species, representing 60% of the isolates. Immunosuppression, diabetes mellitus, age extremes of life, the presence of catheters or procedures on the urinary tract are risk factors for Candida urinary tract infection. The candiduria is usually asymptomatic and does not need treatment...
May 2011: Progrès en Urologie
https://read.qxmd.com/read/21498838/candida-urinary-tract-infections-diagnosis
#18
REVIEW
Carol A Kauffman, John F Fisher, Jack D Sobel, Cheryl A Newman
The finding of candiduria in a patient with or without symptoms should be neither dismissed nor hastily treated, but requires a careful evaluation, which should proceed in a logical fashion. Symptoms of Candida pyelonephritis, cystitis, prostatitis, or epididymo-orchitis are little different from those of the same infections produced by other pathogens. Candiduria occurring in critically ill patients should initially be regarded as a marker for the possibility of invasive candidiasis. The first step in evaluation is to verify funguria by repeating the urinalysis and urine culture...
May 2011: Clinical Infectious Diseases
https://read.qxmd.com/read/18631936/cutaneous-calicostomy-for-salvage-urinary-diversion
#19
JOURNAL ARTICLE
Stephen J Canon, Venkata R Jayanthi
OBJECTIVE: We describe a salvage technique for urinary diversion in the face of an obstructed, undilated upper urinary tract utilized in the management of a premature newborn infant with bilateral renal candidiasis, namely cutaneous calicostomy. METHODS: An 850-g 24 weeks' gestation premature male infant developed obstructive nephropathy as a result of renal candidiasis. Systemic therapy with bilateral nephrostomy drainage and amphotericin B irrigations was repeatedly unsuccessful in eradicating the candiduria and fungal balls...
June 2008: Journal of Pediatric Urology
https://read.qxmd.com/read/12601973/-urethrosonocystography-with-galactose-in-the-diagnosis-and-follow-up-of-pediatric-patients-with-vesicoureteral-reflux
#20
JOURNAL ARTICLE
R Méndez, M G Tellado, A Maté, A Bargiela, I Somoza, J Liras, E Pais, D Vela
INTRODUCTION AND OBJECTIVES: Since early 80's, attempts to detect Vesicoureteric Reflux (VUR) with Ultrasound (US) contrast medium have been made to study the urinary tract during voiding. The galactose-based agents are comparable in the diagnostic range with the standard fluoroscopic cystography, providing high values of sensitivity and specificity. The purpose of our work is to show our experience during last three years with the urethrosonocystography with echo contrast in the diagnosis and follow-up of pediatric patients with urological malformations...
October 2002: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
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