Intravesical Mycetoma misdiagnosed as enterovesical fistula

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 r...

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Main Authors: Livia Huber, Paul F. Engelhardt, Claus Riedl
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Urology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442023002036
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author Livia Huber
Paul F. Engelhardt
Claus Riedl
author_facet Livia Huber
Paul F. Engelhardt
Claus Riedl
author_sort Livia Huber
collection DOAJ
description 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.
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spelling doaj.art-376c556818f94279811ec3a61496a4fb2023-09-09T04:55:33ZengElsevierUrology Case Reports2214-44202023-09-0150102517Intravesical Mycetoma misdiagnosed as enterovesical fistulaLivia Huber0Paul F. Engelhardt1Claus Riedl2Department of Urology and Andrology, Landesklinikum ThermenregionBaden, Austria; Corresponding autho.Department of Urology and Andrology, Landesklinikum ThermenregionBaden, Austria; Department of Urology, Paracelsus Medical University Salzburg, Salzburg, AustriaDepartment of Urology and Andrology, Landesklinikum ThermenregionBaden, AustriaFungus 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.http://www.sciencedirect.com/science/article/pii/S2214442023002036FunguriaCandiduriaFluconazoleUrinary bladder
spellingShingle Livia Huber
Paul F. Engelhardt
Claus Riedl
Intravesical Mycetoma misdiagnosed as enterovesical fistula
Urology Case Reports
Funguria
Candiduria
Fluconazole
Urinary bladder
title Intravesical Mycetoma misdiagnosed as enterovesical fistula
title_full Intravesical Mycetoma misdiagnosed as enterovesical fistula
title_fullStr Intravesical Mycetoma misdiagnosed as enterovesical fistula
title_full_unstemmed Intravesical Mycetoma misdiagnosed as enterovesical fistula
title_short Intravesical Mycetoma misdiagnosed as enterovesical fistula
title_sort intravesical mycetoma misdiagnosed as enterovesical fistula
topic Funguria
Candiduria
Fluconazole
Urinary bladder
url http://www.sciencedirect.com/science/article/pii/S2214442023002036
work_keys_str_mv AT liviahuber intravesicalmycetomamisdiagnosedasenterovesicalfistula
AT paulfengelhardt intravesicalmycetomamisdiagnosedasenterovesicalfistula
AT clausriedl intravesicalmycetomamisdiagnosedasenterovesicalfistula