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Aspergillus infection in urinary tract post-ureteric stenting
1Department of Microbiology, Narayana Health Multispeciality Hospital, Ahmedabad - 382 424, Gujarat, India.
A rare case of Aspergillus flavus urinary tract infection was identified in a young diabetic woman with a displaced double-J stent. Prompt diagnosis and antifungal treatment led to her recovery.
Area of Science:
- Urology
- Mycology
- Infectious Diseases
Background:
- Urinary tract fungal infections (UTIs) often occur after antibiotic use, instrumentation, or indwelling catheters, particularly in immunocompromised individuals.
- Candida species are the most common cause of fungal UTIs, followed by Aspergillus species.
Observation:
- A 26-year-old diabetic female presented with abdominal pain, fever, nausea, and vomiting following double-J stent placement.
- Computed Tomography (CT) scan revealed a displaced double-J stent, which was suspected as the cause of her symptoms.
Findings:
- Microbiological examination of tissue obtained during stent replacement and cystoscopy isolated Aspergillus flavus as the causative agent.
- Histopathological examination confirmed the fungal infection.
Implications:
- This case highlights Aspergillus flavus as a potential pathogen in complicated urinary tract infections, especially in patients with indwelling devices and underlying conditions like diabetes.
- Early diagnosis through advanced imaging and microbiological analysis is crucial for effective management with antifungal therapy.
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