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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Format: | Article |
Language: | English |
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Elsevier
2023-09-01
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Series: | Urology Case Reports |
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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. |
first_indexed | 2024-03-12T01:46:10Z |
format | Article |
id | doaj.art-376c556818f94279811ec3a61496a4fb |
institution | Directory Open Access Journal |
issn | 2214-4420 |
language | English |
last_indexed | 2024-03-12T01:46:10Z |
publishDate | 2023-09-01 |
publisher | Elsevier |
record_format | Article |
series | Urology Case Reports |
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 |