Candida Glabrata Perinephric Abscess

Perinephric abscess is a rare complication of urinary tract infections, and the etiology is usually a gram negative bacillus. We report a case of Candida glabrata perinephric abscess in a patient with diabetes mellitus who had a recent episode of pyelonephritis that was treated with antibiotics. Per...

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Main Authors: Ilker Inanc Balkan, Arif Savas, Ayfer Geduk, Mucahit Yemisen, Bilgul Mete, Resat Ozaras
Format: Article
Language:English
Published: AVES 2011-04-01
Series:Eurasian Journal of Medicine
Subjects:
Online Access:http://www.eajm.org/text.php3?id=388
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author Ilker Inanc Balkan
Arif Savas
Ayfer Geduk
Mucahit Yemisen
Bilgul Mete
Resat Ozaras
author_facet Ilker Inanc Balkan
Arif Savas
Ayfer Geduk
Mucahit Yemisen
Bilgul Mete
Resat Ozaras
author_sort Ilker Inanc Balkan
collection DOAJ
description Perinephric abscess is a rare complication of urinary tract infections, and the etiology is usually a gram negative bacillus. We report a case of Candida glabrata perinephric abscess in a patient with diabetes mellitus who had a recent episode of pyelonephritis that was treated with antibiotics. Percutaneous drainage and fluconazole treatment led to resolution of the infection. Yeast perinephric abscess should be considered when symptoms of acute or chronic urinary tract infection occur in elderly and diabetic patients, especially patients who are unresponsive to antibacterial therapy. The clinical course is sometimes insidious. Imaging (contrast-enhanced CT or MRI) is required for diagnosis, and drainage is indicated for successful therapy. Adjuvant antifungal treatment is recommended based on the results of antifungal susceptibility tests.
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spelling doaj.art-e0b2efa620c34c82b5eef536f257c83a2023-02-15T16:15:29ZengAVESEurasian Journal of Medicine1308-87341308-87422011-04-0143016365Candida Glabrata Perinephric AbscessIlker Inanc BalkanArif SavasAyfer GedukMucahit YemisenBilgul MeteResat OzarasPerinephric abscess is a rare complication of urinary tract infections, and the etiology is usually a gram negative bacillus. We report a case of Candida glabrata perinephric abscess in a patient with diabetes mellitus who had a recent episode of pyelonephritis that was treated with antibiotics. Percutaneous drainage and fluconazole treatment led to resolution of the infection. Yeast perinephric abscess should be considered when symptoms of acute or chronic urinary tract infection occur in elderly and diabetic patients, especially patients who are unresponsive to antibacterial therapy. The clinical course is sometimes insidious. Imaging (contrast-enhanced CT or MRI) is required for diagnosis, and drainage is indicated for successful therapy. Adjuvant antifungal treatment is recommended based on the results of antifungal susceptibility tests.http://www.eajm.org/text.php3?id=388Candida glabrataPerinephric abscessFluconazolePercutaneous drainage
spellingShingle Ilker Inanc Balkan
Arif Savas
Ayfer Geduk
Mucahit Yemisen
Bilgul Mete
Resat Ozaras
Candida Glabrata Perinephric Abscess
Eurasian Journal of Medicine
Candida glabrata
Perinephric abscess
Fluconazole
Percutaneous drainage
title Candida Glabrata Perinephric Abscess
title_full Candida Glabrata Perinephric Abscess
title_fullStr Candida Glabrata Perinephric Abscess
title_full_unstemmed Candida Glabrata Perinephric Abscess
title_short Candida Glabrata Perinephric Abscess
title_sort candida glabrata perinephric abscess
topic Candida glabrata
Perinephric abscess
Fluconazole
Percutaneous drainage
url http://www.eajm.org/text.php3?id=388
work_keys_str_mv AT ilkerinancbalkan candidaglabrataperinephricabscess
AT arifsavas candidaglabrataperinephricabscess
AT ayfergeduk candidaglabrataperinephricabscess
AT mucahityemisen candidaglabrataperinephricabscess
AT bilgulmete candidaglabrataperinephricabscess
AT resatozaras candidaglabrataperinephricabscess