[Urinary candidiasis revealed by ureteral obstruction: report of 2 cases]

Area of Science:

• Urology
• Infectious Diseases
• Mycology

Background:

• Urinary tract infections (UTIs) due to Candida species are becoming more frequent.
• These infections primarily impact individuals with diabetes mellitus or compromised immune systems.
• Upper urinary tract obstruction by fungal infection is an uncommon complication.

Observation:

• Two cases of urinary candidiasis presenting with upper urinary tract obstruction were identified.
• Patients had underlying conditions predisposing them to fungal infections.

Findings:

• Both cases were successfully treated with a combination regimen.
• The treatment involved the antifungal medication fluconazole and ureteral catheterization.
• This approach effectively resolved the obstruction and cleared the fungal infection.

Implications:

• This case series suggests that a combination of fluconazole and ureteral catheterization is an effective treatment strategy for obstructive urinary candidiasis.
• Early diagnosis and intervention are crucial for managing this rare but serious complication.
• Further research may explore optimal treatment durations and patient selection for this combined therapy.