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Endourological Management of Ureteric Obstruction Secondary to Candida Bezoar in a Transplant Kidney

Endourological Management of Ureteric Obstruction Secondary to Candida Bezoar in a Transplant Kidney Fungal infections are a common complication in renalallogaft recipients, particularly as a consequence of thenecessary immunosuppression, and contribute significantlyto morbidity and mortality. However, ureteric obstructionfrom candidal bezoar is rare and may potentially causecompromise or loss of the renal graft. We report a caseof a 25-year-old female presenting with worsening renalfunction, anuria and sepsis 6 weeks post transplant.Repeated mid-stream urine and nephrostomy samples werepersistently negative, and microscopy was unremarkableapart from pyuria. Candida bezoars were removed througha percutaneous approach, resulting in normalisation ofrenal function. A high index of suspicion is required for thiscondition in patients presenting with allograft dysfunctionfollowing initial successful graft uptake. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Urology Karger

Endourological Management of Ureteric Obstruction Secondary to Candida Bezoar in a Transplant Kidney

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Publisher
Karger
Copyright
© 2007 S. Karger AG, Basel
ISSN
1661-7649
eISSN
1661-7657
DOI
10.1159/000106529
Publisher site
See Article on Publisher Site

Abstract

Fungal infections are a common complication in renalallogaft recipients, particularly as a consequence of thenecessary immunosuppression, and contribute significantlyto morbidity and mortality. However, ureteric obstructionfrom candidal bezoar is rare and may potentially causecompromise or loss of the renal graft. We report a caseof a 25-year-old female presenting with worsening renalfunction, anuria and sepsis 6 weeks post transplant.Repeated mid-stream urine and nephrostomy samples werepersistently negative, and microscopy was unremarkableapart from pyuria. Candida bezoars were removed througha percutaneous approach, resulting in normalisation ofrenal function. A high index of suspicion is required for thiscondition in patients presenting with allograft dysfunctionfollowing initial successful graft uptake.

Journal

Current UrologyKarger

Published: Jan 1, 2007

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