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Successful treatment of fungus balls due to fluconazole-resistant Candida sake obstructing ureter stents in a renal transplant patient

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Abstract

Reported here is the case of a 72-year-old renal transplant recipient with stenosis of the neo-ureter requiring stents, who was admitted to hospital with pyonephrosis caused by fungus balls. Fluconazole-resistant Candida sake was grown. Treatment with external drainage of the renal pelvis and intravenous and local administration of caspofungin resulted in relief of the obstruction. Eradication of the infection was achieved by surgical removal of the ureter with all stents and construction of a cysto-pyelostomy.

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Authors and Affiliations

  1. Department of Infectious Diseases, C5P, Leiden University Medical Center, P.O. Box 9600, 2300RC, Leiden, The Netherlands

    S. M. Arend & J. W. van’t Wout

  2. Department of Medical Microbiology, Leiden University Medical Center, Leiden, The Netherlands

    E. J. Kuijper

  3. Department of Nephrology, Leiden University Medical Center, Leiden, The Netherlands

    B. J. de Vaal & J. W. de Fijter

Authors
  1. S. M. Arend
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  2. E. J. Kuijper
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  3. B. J. de Vaal
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  4. J. W. de Fijter
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  5. J. W. van’t Wout
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Corresponding author

Correspondence to J. W. van’t Wout.

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Arend, S.M., Kuijper, E.J., de Vaal, B.J. et al. Successful treatment of fungus balls due to fluconazole-resistant Candida sake obstructing ureter stents in a renal transplant patient. Eur J Clin Microbiol Infect Dis 25, 43–45 (2006). https://doi.org/10.1007/s10096-005-0066-y

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  • DOI: https://doi.org/10.1007/s10096-005-0066-y

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