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Eosinophilic cystitis caused by Candida glabrata: A case report
David T Duong1, Harris S Goodman2
1Urology Associates, P.C., 2801 Charlotte Avenue, Nashville, TN, 37209, USA.
Insights
Eosinophilic cystitis, a rare bladder disease, may be linked to Candida glabrata infection. Treatment with fluconazole resolved symptoms and reduced eosinophil presence in a unique case study.
Area of Science:
- Urology
- Medical Mycology
- Pathology
Background:
- Eosinophilic cystitis is a rare bladder condition with unknown etiology and no standard treatment.
- It presents with symptoms like irritative voiding and hematuria.
Observation:
- A 61-year-old male presented with irritative voiding symptoms and gross hematuria.
- Cystoscopy revealed diffuse urothelial erythema and a bladder wall ulcer.
- Bladder biopsy confirmed eosinophilic cystitis with ulceration.
Findings:
- Urine culture identified Candida glabrata in the patient.
- Treatment with oral fluconazole led to symptom resolution.
- Follow-up bladder biopsy showed a complete absence of eosinophils.
Implications:
- This case report suggests a potential link between Candida glabrata and eosinophilic cystitis.
- It highlights the efficacy of fluconazole in treating this specific presentation.
- Further research is warranted to explore the role of fungal infections in eosinophilic cystitis.
Abstract:
Eosinophilic cystitis is a rare disease of the bladder, for which there is no clear cause or standard treatment. We report the case of a 61 year old man who presented with irritative voiding symptoms and gross hematuria. Cystoscopy showed diffuse urothelial erythema and a posterior bladder wall ulcer. Bladder biopsy revealed marked eosinophilic cystitis with ulceration. Urine culture grew Candida glabrata. After treatment with oral fluconazole, his voiding symptoms resolved and subsequent bladder biopsy revealed a complete dearth of eosinophils. This is the first case report linking eosinophilic cystitis to Candida glabrata.
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