Transdermal nephrostomy as a therapeutical option for kid with fungous obstructive kidney disease
M. Xiromeritis
Larissa, Greece
GENERAL:
Fungus balls rarely cause upper urinary tract obstruction, and they are most often found in patients with diabetes mellitus or impaired immunity. The computed tomography (CT) findings of fungal bezoars of the urinary tract are non-specific and have rarely been described, while in most cases, radiolucent filling defects are observed on excretory or retrograde urography. Only approximately 60 cases of fungal bezoars of the urinary tract have been reported [2,3]. The great majority have been associated with Candida species. There have been fewer than 20 cases of Aspergillus bezoars of the urinary tract [1,2]. Although almost all aspergillosis in the urinary tract has occurred in patients with predisposing conditions, such as diabetes mellitus, therapy with immunosuppressive agents or antibiotics, intravenous drug abuse, and malignancy .
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