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Published on: June 23, 2015

Persistent candiduria complicating intraureteral stenting: a case report and review of literature

Brett Faulknier1, Dan Chaksupa, Amer Malas

  • 1West Virginia University, Charleston Division, USA.

The West Virginia Medical Journal
|May 24, 2003
PubMed

Insights

Nosocomial fungal infections, particularly Candida, are rising. Ureteral stents can cause persistent fungiuria and fungemia, resolving only after stent removal.

Area of Science:

  • Medicine
  • Infectious Diseases
  • Nephrology

Background:

  • Nosocomial infections have increased significantly over the past two decades.
  • Fungal infections, especially by Candida species, show the highest incidence increase.
  • Candida is the leading cause of hospital-acquired urinary tract infections and a common cause of bloodstream infections.

Observation:

  • A case report details a patient with acute pancreatitis and renal failure.
  • The patient developed hospital-acquired fungiuria and fungemia after bilateral ureteral stenting.
  • Fungiuria persisted despite appropriate antifungal therapy.

Findings:

  • Persistent fungiuria and fungemia were linked to bilateral ureteral stents.
  • Removal of the intraureteral stents led to the resolution of the patient's condition.
  • The stents likely served as the source (nidus) for the persistent fungal infection.

Implications:

  • Ureteral stents may act as a nidus for persistent nosocomial fungal infections.
  • Removal of stents is crucial for resolving such infections, even with antifungal treatment.
  • Highlights the importance of considering fungal sources in hospital-acquired infections associated with medical devices.

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