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Candidal psoas abscess following persistent pyuria in a renal transplant recipient

Nurgul Ozgur1, Nurhan Seyahi, Uluhan Sili

  • 1Division of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.

International Urology and Nephrology
|November 9, 2012
PubMed

Insights

Candidal psoas abscess is a rare fungal infection in kidney transplant patients. Successful treatment required prolonged antifungal therapy and surgical drainage for complete eradication.

Area of Science:

  • Nephrology
  • Mycology
  • Transplant Surgery

Background:

  • Renal transplant recipients frequently experience candidal infections, primarily affecting the genitourinary system.
  • Candiduria is the most common fungal infection in this population, yet its epidemiology remains poorly understood.
  • Candidal psoas abscess represents an exceptionally rare manifestation.

Observation:

  • A 42-year-old male kidney transplant recipient presented with persistent pyuria and candiduria.
  • The patient subsequently developed a candidal psoas abscess.
  • Initial treatment involved extended antifungal therapy and percutaneous drainage.

Findings:

  • Percutaneous drainage and antifungal therapy were insufficient for complete resolution.
  • Surgical drainage was ultimately necessary for successful eradication of the candidal psoas abscess.
  • This case highlights a rare but serious complication in immunosuppressed transplant patients.

Implications:

  • Emphasizes the need for vigilant monitoring of genitourinary fungal infections in renal transplant recipients.
  • Suggests that invasive candidal infections like psoas abscess may require aggressive multimodal treatment, including surgery.
  • Contributes to the limited literature on managing rare fungal abscesses in immunocompromised individuals.

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