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[Candida glabrata perinephric abscess. A case report].
B Khemakhem1, F Kanoun, M Ben Jemaa
1Service des Maladies Infectieuses, CHU Hédi-Chaker, 3029 Sfax, Tunisie. mounir.benjemaa@rns.tn
Annales De Medecine Interne
|May 18, 2001
Summary
A rare Candida glabrata perinephric abscess case in a diabetic patient post-ureteropelvic surgery was successfully treated with surgical drainage and amphotericin B. This highlights effective management for invasive fungal infections in complex cases.
Area of Science:
- Nephrology
- Mycology
- Infectious Diseases
Background:
- Diabetes mellitus and recent ureteropelvic surgery are risk factors for invasive fungal infections.
- Candida glabrata urinary tract infections are increasingly reported, particularly in immunocompromised individuals.
Observation:
- A case of Candida glabrata perinephric abscess was identified in a patient with diabetes mellitus following ureteropelvic surgery for lithiasic urinary tract obstruction.
Findings:
- Surgical drainage of the perinephric abscess combined with amphotericin B treatment resulted in complete resolution of the infection.
- The case underscores the importance of timely surgical intervention for fungal abscesses in the perinephric space.
Implications:
- This case supports the current recommendations for surgical drainage in perinephric fungal abscesses.
- Adjuvant antifungal therapy, such as amphotericin B, is crucial for successful treatment outcomes in invasive Candida glabrata infections.