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  • Title: [A case of Candida parapsilosis fungal balls in the urinary tract associated with a retrocaval ureter].
    Author: Kamimura Y, Segawa T, Yamaguchi K, Masuda N, Utsunomiya N, Muguruma K, Kawakita M.
    Journal: Hinyokika Kiyo; 2010 Aug; 56(8):443-5. PubMed ID: 20808063.
    Abstract:
    A 70-year-old man with a medical history of diabetes mellitus presented to a local clinic with seven days history of right flank pain and fever. Because there was no symptomatic improvement after one-week antibiotic administration, abdominal ultrasonography and computed tomographic scans were performed to show mass lesions in the right hydropelvis, and he was transferred to our hospital. Retrograde pyelography revealed a retrocaval ureter and a ureteral stent was indwelt. After the symptoms improved, the lesions were removed by percutaneous nephrostomy and fungal balls were diagnosed as Candida parapsilosis after culture. After intermittent one-week irrigation of the renal pelvis with normal saline, the nephrostomy tube was removed. In six-month follow-up, mild hydronephrosis remains without fungal ball recurrence. To the best our knowledge, there has been no case report of Candida parapsilosis fungal balls in the urinary tract.
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