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Primary renal candidiasis associated with a penile prosthesis in a diabetic man
1Department of Medicine, Coney Island Hospital, Brooklyn, NY 11235.
Abstract:
Infectious complications of penile prostheses are unusual even in diabetic patients, and generally involve Staphylococcus or gram-negative enteric organisms. This paper presents a diabetic patient who developed fatal, primary renal candidiasis associated with an infected penile prosthesis. He is the fourth patient we have seen with refractory nausea and vomiting associated with a cryptic urinary infection. Invasive Candida should always be considered in a diabetic patient with evidence of a urinary tract infection.
Insights
Penile prosthesis infection in diabetics is rare but can lead to severe outcomes. This case highlights fatal renal candidiasis, emphasizing Candida
Area of Science:
- Urology
- Infectious Diseases
- Nephrology
Background:
- Infectious complications following penile prosthesis implantation are uncommon, even in diabetic individuals.
- Typical pathogens include Staphylococcus species and gram-negative enteric bacteria.
Observation:
- This report details a diabetic patient who experienced fatal primary renal candidiasis.
- The candidiasis was linked to an infected penile prosthesis.
- The patient also presented with persistent nausea and vomiting due to a hidden urinary tract infection.
Findings:
- Invasive Candida infections can manifest in diabetic patients with urinary tract infections.
- Primary renal candidiasis is a rare but severe complication associated with infected penile prostheses.
Implications:
- Clinicians should maintain a high index of suspicion for invasive Candida in diabetic patients presenting with urinary tract infections.
- Early recognition and treatment of Candida infections are crucial in immunocompromised patients, particularly those with medical devices.