Multifocal Renal Fungal Abscesses

We report a case of multiple fungal renal abscesses in a 36-year-old woman with a history of diabetes and intravenous substance use disorder. The patient presented with fever and hematuria, and was found to be bacteremic and fungemic. She was initially managed with broad-spectrum antibiotics and ant...

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Bibliographic Details
Published in:	Urology (Ridgewood, N.J.) Vol. 93; p. e3
Main Authors:	Cho, Eric Y, Kaplan, Joshua R, Mamone, Linda, Mydlo, Jack H, Reese, Adam C
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-07-2016
Subjects:	Abscess - diagnostic imaging Abscess - therapy Adult Female Humans Kidney Diseases - diagnostic imaging Kidney Diseases - therapy Mycoses - diagnostic imaging Mycoses - therapy Urinary Tract Infections - diagnostic imaging Urinary Tract Infections - therapy Urology
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Summary:	We report a case of multiple fungal renal abscesses in a 36-year-old woman with a history of diabetes and intravenous substance use disorder. The patient presented with fever and hematuria, and was found to be bacteremic and fungemic. She was initially managed with broad-spectrum antibiotics and antifungals. She remained febrile and imaging on treatment day 14 showed no improvement of the renal abscesses. Thus, a nephrectomy was performed, after which the patient defervesced and follow-up blood cultures were negative. There is a paucity of literature regarding management of multifocal fungal renal abscesses that fail to respond to medical management.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0090-4295 1527-9995
DOI:	10.1016/j.urology.2016.03.010