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[Bladder mucormycosis. Report of one case].
María Paz Pérez de la Espejo1, Rafael Barrero Candau, David Chinchón Espino
1Servicio de Urología, Hospital Universitario Virgen del Rocio, Sevilla, España. mperez@pulso.com
Archivos Espanoles De Urologia
|April 29, 2004
Summary
This case report details a rare bladder infection caused by Mucorales fungus, a type of mucormycosis. Diagnosis and treatment involve antifungal drugs and debridement for this opportunistic infection.
Area of Science:
- Mycology
- Infectious Diseases
- Urology
Background:
- Mucormycosis is a rare, invasive fungal infection caused by fungi of the Mucorales order.
- It is an opportunistic infection, primarily affecting immunocompromised individuals.
- Hematogenous dissemination from a primary site is a common route of infection.
Observation:
- An elderly patient with a permanent bladder catheter presented with hematuria and a bladder mass.
- Ultrasound revealed a bladder mass, prompting cystoscopy and biopsy.
- Histopathological examination confirmed the presence of mucormycosis.
Findings:
- The case confirmed bladder mucormycosis, an uncommon manifestation of this fungal infection.
- Diagnosis relied on histological identification of characteristic hyphae and associated tissue necrosis.
- Bladder involvement by Mucorales is exceptionally rare.
Implications:
- This case highlights the importance of considering opportunistic fungal infections in catheterized patients with atypical urinary symptoms.
- Prompt diagnosis and treatment, including surgical debridement and systemic antifungal therapy (amphotericin B), are crucial for managing mucormycosis.
- Further research into risk factors and diagnostic modalities for bladder mucormycosis may be warranted.