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candiduria urology

Rishi Raj, Jon Hendrie, Aasems Jacob, Derick Adams
A 38-year-old female patient with well-controlled type 2 diabetes mellitus treated with canagliflozin underwent ureteral stent placement for obstructive renal calculi. Ten days following ureteroscopy and ureteral stenting, she developed fevers and blood cultures grew Candida glabrata ( C. glabrata ). The patient was successfully treated with an extended course of broad-spectrum antibiotics and antifungal agents. The clinical presentation of candidemia is indistinguishable from bacteremia resulting in delay in diagnosis and treatment...
2019: Frontiers in Endocrinology
Kazem Ahmadikia, Parivash Kordbacheh, Pejman Shadpour, Sanam Nami, Abdolfattah Sarrafnejad, Mahmood Mahmoodi, Mahin Safara, Mohsen Rokni, Mohammad Yarahmadi, Shahram Mahmoudi, Mahdis Khezri, Farideh Zaini
INTRODUCTION: Candiduria is common in the hospitalized patients. This study aimed to quantify interleukin (IL)-17 and IL-22 levels in urine of candiduric patients. MATERIALS AND METHODS: A case-control study was conducted on inpatients at Hashemi Nejad Kidney Center. Thirty-four patients were identified with Candida species in their urine samples (> 103 colony-forming units per milliliter and presence of Candida species only). Urine samples with concomitant infections were excluded...
January 2018: Iranian Journal of Kidney Diseases
Guillermo Cuervo, Carolina Garcia-Vidal, Mireia Puig-Asensio, Antonio Vena, Yolanda Meije, Mario Fernández-Ruiz, Eva González-Barberá, María José Blanco-Vidal, Adriana Manzur, Celia Cardozo, Carlota Gudiol, José Miguel Montejo, Javier Pemán, Josefina Ayats, Jose María Aguado, Patricia Muñoz, Francesc Marco, Benito Almirante, Jordi Carratalà
Background: Whether echinocandins could be used to treat candidemia of a urinary tract source (CUTS) is unknown. We aimed to provide current epidemiological information of CUTS and to compare echinocandin to fluconazole treatment on CUTS outcomes. Methods: A multicenter study of adult patients with candidemia was conducted in 9 hospitals. CUTS was defined as a candidemia with concomitant candiduria by the same organism associated with significant urological comorbidity...
May 15, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
H Hof
BACKGROUND: Yeasts are found in urine specimens relatively often, especially in the elderly and patients under treatment with broad spectrum antibiotics, i. e. especially in intensive care unit (ICU) patients. In some cases, the number of pathogens is very high, i. e. >10(5)/ml. The clinical relevance of detecting Candida in urine is difficult to assess. In the German S3 guidelines it is apodictically stated that an ascending infection of the urinary tract by yeasts does not occur but this may undoubtedly happen in certain instances in patients at risk, for example in the elderly, in diabetic persons and in the case of foreign bodies in the urinary tract...
February 2017: Der Urologe. Ausg. A
Sana Jamil, Naz Jamil, Uzma Saad, Saleem Hafiz, Sualleha Siddiqui
OBJECTIVE: To determine the frequency of Candida albicansin patients with funguria. STUDY DESIGN: Descriptive cross-sectional study. PLACE AND DURATION OF STUDY: Department of Microbiology, Sindh Institute of Urology and Transplantation, from July to December 2012. METHODOLOGY: Patients’ urine samples with fungus/Candida were included. Candida albicans was identified by the production of tubular structures (germ tubes) on microscopy as per standard procedure followed by inoculation on Chrom agar (Oxoid) and Corn Meal-Tween 80 agar (Oxoid)...
February 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Lewis Thomas, Chad R Tracy
Funguria, and particularly candiduria, is an increasingly common problem encountered by the practicing urologist and is associated with high-acuity care, indwelling catheters, diabetes mellitus, antibiotic and steroid use, and urinary tract disease. In most cases, candiduria is asymptomatic and follows a benign clinical course with antifungal therapy only required in symptomatic or high-risk cases, because spontaneous resolution is common in patients with asymptomatic colonization. Rarely, invasive infections can occur (such as fungus balls or renal abscesses) and may require percutaneous and endoscopic interventions...
November 2015: Urologic Clinics of North America
Neal Irfan, Annie Brooks, Siraj Mithoowani, Steve J Celetti, Cheryl Main, Dominik Mertz
BACKGROUND: Asymptomatic bacteriuria (ABU) should only be treated in cases of pregnancy or in-patients undergoing urologic procedures; however, unnecessary treatment of ABU is common in clinical practice. OBJECTIVE: To identify risk factors for unnecessary treatment and to assess the impact of an educational intervention focused on these risk factors on treatment of ABU. DESIGN: Quasi-experimental study with a control group. SETTING: Two tertiary teaching adult care hospitals...
2015: PloS One
Ali Zarei Mahmoudabadi, Ali Rezaei-Matehkolaei, Fataemeh Ghanavati
BACKGROUND: Candiduria is a rising condition among hospitalized patients and Candida albicans is the most common recovered agent. However, non-albicans Candida species (NACs) such as C. glabrata, C. krusei, C. parapsilosis, and C. tropicalis are also important. Although most Candida species especially C. albicans are sensitive to routinely used antifungals, an increasing trend in resistance has been observed among NACs. OBJECTIVES: The aim of the present study was to detect the susceptibility of Candida strains recovered from candiduria in hospitalized patients against posaconazole and caspofungin...
March 2015: Jundishapur Journal of Microbiology
T Fraisse, L Lachaud, A Sotto, J-P Lavigne, G Cariou, J-P Boiteux, L Escaravage, P Coloby, F Bruyère, et al.
The candiduria are frequently encountered in urology. We present the recommendations of the Infectious Diseases Committee of the French Association of Urology for diagnosis, treatment and monitoring of urinary tract infections. C. albicans is the most frequently isolated species, representing 60% of the isolates. Immunosuppression, diabetes mellitus, age extremes of life, the presence of catheters or procedures on the urinary tract are risk factors for Candida urinary tract infection. The candiduria is usually asymptomatic and does not need treatment...
May 2011: Progrès en Urologie
Carol A Kauffman, John F Fisher, Jack D Sobel, Cheryl A Newman
The finding of candiduria in a patient with or without symptoms should be neither dismissed nor hastily treated, but requires a careful evaluation, which should proceed in a logical fashion. Symptoms of Candida pyelonephritis, cystitis, prostatitis, or epididymo-orchitis are little different from those of the same infections produced by other pathogens. Candiduria occurring in critically ill patients should initially be regarded as a marker for the possibility of invasive candidiasis. The first step in evaluation is to verify funguria by repeating the urinalysis and urine culture...
May 2011: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
Stephen J Canon, Venkata R Jayanthi
OBJECTIVE: We describe a salvage technique for urinary diversion in the face of an obstructed, undilated upper urinary tract utilized in the management of a premature newborn infant with bilateral renal candidiasis, namely cutaneous calicostomy. METHODS: An 850-g 24 weeks' gestation premature male infant developed obstructive nephropathy as a result of renal candidiasis. Systemic therapy with bilateral nephrostomy drainage and amphotericin B irrigations was repeatedly unsuccessful in eradicating the candiduria and fungal balls...
June 2008: Journal of Pediatric Urology
R Méndez, M G Tellado, A Maté, A Bargiela, I Somoza, J Liras, E Pais, D Vela
INTRODUCTION AND OBJECTIVES: Since early 80's, attempts to detect Vesicoureteric Reflux (VUR) with Ultrasound (US) contrast medium have been made to study the urinary tract during voiding. The galactose-based agents are comparable in the diagnostic range with the standard fluoroscopic cystography, providing high values of sensitivity and specificity. The purpose of our work is to show our experience during last three years with the urethrosonocystography with echo contrast in the diagnosis and follow-up of pediatric patients with urological malformations...
October 2002: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
Valérie Triolo, Martine Gari-Toussaint, Florence Casagrande, Rodolphe Garraffo, Christian Dageville, Patrick Boutté, Etienne Bérard
Candiduria is rare in newborns and infants, occurring most often in patients with risk factors. When associated with a candidal bezoar in the urinary tract, candiduria is usually treated by systemic amphotericin B and flucytosine plus local irrigation with amphotericin B. We describe the successful treatment of five newborns with a urinary tract infection, on major urological malformations, due to Candida albicans (including three with a candidal bezoar) by fluconazole alone. No adverse effects or recurrences were observed...
July 2002: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
P O Gubbins, S A McConnell, S R Penzak
Recent findings on the epidemiology and treatment of funguria are reviewed. Funguria, or candiduria, is a common nosocomial condition and may develop as early as the first two weeks of hospitalization. Risk factors include antibacterial therapy, an indwelling urinary catheter, urologic procedures, female sex, diabetes, and immunosuppressive therapy. Candida albicans is the species most commonly isolated from the urine of infected patients. Spontaneous resolution of funguria is relatively infrequent. Furthermore, although nonpharmacologic measures, such as removing unnecessary antibacterials and changing or removing indwelling urinary catheters, may be beneficial, they are often inadequate without additional, pharmacologic therapy...
October 1, 1999: American Journal of Health-system Pharmacy: AJHP
M Gross, H Winkler, S Pitlik, M Weinberger
Two elderly patients with obstructive renal calculi who developed Candida albicans bloodstream infection within 12 h following ureteroscopy and ureteral stenting are described. Both patients were treated with prolonged courses of broad-spectrum antibiotics and were found to have urine cultures positive for Candida albicans prior to the urologic procedures. One patient also developed bilateral candidal endophthalmitis. The clinical presentation was indistinguishable from bacteremia complicating manipulation of the urinary tract...
August 1998: European Journal of Clinical Microbiology & Infectious Diseases
B S Ang, A Telenti, B King, J M Steckelberg, W R Wilson
Twenty-six cases of candidemia associated with a well-defined urinary tract source were retrospectively identified and reviewed. Urinary tract abnormalities were present in 23 of 26 patients (88%), 19 (73%) of whom had urinary tract obstruction. Nineteen patients had undergone urinary tract procedures before the onset of candidemia. Episodes of candidemia were brief and low-grade in intensity (median duration, 1 day; median colony count, 1.5 cfu/10 mL of blood). Only eight patients (31%) received > or = 500 mg of amphotericin B...
October 1993: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
M I Lesseva, O G Hadjiski
A detailed analysis of bacteriuria in 148 aged patients with burns was made for a period of 2 years (1991-92), in order to determine the incidence of the urine infections they sustained, the sources and mechanisms of the infections and the impact on the course and outcome of the primary disease. Urine infection was found in 7.6 per cent (46 patients) of all patients treated for burns during the study period; 39.1 per cent were community acquired uroinfection (CAU) and 60.9 per cent were hospital acquired (HAU)...
February 1995: Burns: Journal of the International Society for Burn Injuries
G J Wise, P J Kozinn, P Goldberg
High urinary colony counts of Candida may develop in patients with prolonged indwelling bladder catheters, multiple antibiotic usage and compromised host resistance. Serum candidal antibody titers may differentiate candidal colonization or early infection from invasive or disseminated infection. The persistence of marked candiduria in the absence of elevated antibody titers or other manifestations of disseminated infection presents a therapeutic dilemma to the urologist. Should the patient be treated with systemic therapy, that is flucytosine or intravenous amphotericin B, or should he be observed until the signs of systemic or renal infection develop? Amphotericin B may be used as a urological irrigant in the management of noninvasive urinary fungal infection...
July 1982: Journal of Urology
J Schönebeck
No abstract text is available yet for this article.
1972: Scandinavian Journal of Urology and Nephrology
E O Janosko, J W McRoberts
The incidence of genitourinary fungal infections is increasing, and because of their lethal potential, early diagnosis and treatment is mandatory. Candida is the most common urinary fungus and is manifest as renal involvement from systemic candidiasis, primary renal candidiasis, bezoar formation, cystitis, and as asymptomatic candiduria. The clinical status of the patient, serial urine cultures, excretory urogram, and serum candidal titers help to differentiate between the various disease states. Treatment is specific and is based on the clinical manifestation of the disease...
December 1979: Southern Medical Journal
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