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Title: 下大静脈後尿管に発症したCandida parapsilosis による尿路真菌球症の1例
Other Titles: A Case of Candida Parapsilosis Fungal Balls in the Urinary Tract Associated with a Retrocaval Ureter
Authors: 上村, 吉穂  KAKEN_name
清川, 岳彦  KAKEN_name
山口, 憲昭  KAKEN_name
増田, 憲彦  KAKEN_name
宇都宮, 紀明  KAKEN_name
六車, 光英  KAKEN_name
川喜田, 睦司  KAKEN_name
Author's alias: Kamimura, Yoshiho
Segawa, Takehiro
Yamaguchi, Kazuaki
Masuda, Norihiko
Utsunomiya, Noriaki
Muguruma, Koei
Kawakita, Mutsushi
Keywords: Fungal ball
Retrocaval ureter
Issue Date: Aug-2010
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 56
Issue: 8
Start page: 443
End page: 445
Abstract: A 70-year-old man with a medical history of diabetes mellitus presented to a local clinic with seven days history of right flank pain and fever. Because there was no symptomatic improvement after one-week antibiotic administration, abdominal ultrasonography and computed tomographic scans were performed to show mass lesions in the right hydropelvis, and he was transferred to our hospital. Retrograde pyelography revealed a retrocaval ureter and a ureteral stent was indwelt. After the symptoms improved, the lesions were removed by percutaneous nephrostomy and fungal balls were diagnosed as Candida parapsilosis after culture. After intermittent one-week irrigation of the renal pelvis with normal saline, the nephrostomy tube was removed. In six-month follow-up, mild hydronephrosis remains without fungal ball recurrence. To the best our knowledge, there has been no case report of Candida parapsilosis fungal balls in the urinary tract.
Rights: 許諾条件により本文は2011-09-01に公開
PubMed ID: 20808063
Appears in Collections:Vol.56 No.8

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