Bilateral renal papillary necrosis due to Candida infection in a diabetic patient presenting as anuria.
نویسندگان
چکیده
A 38 years insulin-dependent diabetic male, with nephropathy on antituberculous treatment presented with painless frank hematuria followed by anuria for a day which was associated with fever. Ultrasonogram of the abdomen showed bilateral hydroureteronephrosis. Necrotic papillae were retrieved after ureteroscopy which on histopathological examination and culture showed Candida albicans. This was successfully treated with fluconazole and ureteroscopic removal of necrotic papillae.
منابع مشابه
Bilateral emphysematous pyelonephritis: a case report.
Emphysematous pyelonephritis is a rapidly progressive acute necrotizing infection of the kidney parenchyma caused by gaseous anaerobic bacteria.(1-3) It is almost always seen in diabetic patients (more than 90% of cases) and is sometimes associated with urinary obstruction induced by renal stone, papillary necrosis, chronic infections, or kidney dysfunction.(1,3) It is bilateral only in 10% of ...
متن کاملBilateral cortical necrosis of the kidneys following snakebite.
BILATERAL cortical necrosis of the kidneys is a rare pathological lesion. It usually follows some complication of pregnancy such as eclampsia. There has been only one case report where the lesion was seen at autopsy of a patient who died of uraemia after a snakebite (Azevedo & Teixeira, 1938). Oram, Ross, Pell & Winteler (1963) have described calcification of both renal cortices in a patient wh...
متن کاملComplicated bilateral fungal emphysematous pyelonephritis in a 55-year-old diabetic female: A case report and review of literature
Background and Purpose: Emphysematous pyelonephritis (EPN) is a rare and serious disease causing acute renal failure. Diabetes is a major risk factor for this infection. Case report: Herein, we present the case of a 55-year-old female patient with diabetes and EPN caused by Candida albicans. The infection was complicated with endophthalmitis and endocarditis. The results of antifungal suscep...
متن کاملExtensive necrosis of the nick following dental infection in a diabetic patient
Extensive fascial and neel necrosis following diabete is a rare finding ,but if it occurs and left untreated,in can be life threatening due to extension of infection via regional fascia.in this report a 58 years old women is presented who had abscess in chin region due to odontogenic infection.clinical examination showed that,she had an extensive necrotic ulcer in chin and neck region.after lab...
متن کاملAn Overview of Candiduria
Candida microorganisms frequently exist as saprophytes on the external genitalia or urethra, however, yeast in measurable quantities are found in <1% of clean voided urine specimens. The overall frequency of Candida infections in hospitals has increased by 200% to 300% in the last decade, such that in a general hospital 5% of urine cultures may yield Candida species, and in tertiary-care center...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- The Journal of the Association of Physicians of India
دوره 51 شماره
صفحات -
تاریخ انتشار 2003