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Fungal Bezoars Mimicking an Enterovesica Fistula: A Unique Case Report
Evert Baten1, An Buttiens2, Lize Waumans3
1Department of Urology, ZOL Genk, Belgium.
Current Urology
|November 27, 2019
Summary
Fungal intravesical bezoars are rare, even in immunocompromised patients. This case highlights a unique instance of multiple, gas-holding fungal bezoars and emphysematous cystitis caused by Candida tropicalis.
Area of Science:
- Urology
- Mycology
- Infectious Diseases
Background:
- Fungal urinary tract infections (UTIs) are common in diabetic or immunocompromised individuals.
- Fungal intravesical bezoars, concretions of fungi within the bladder, represent an exceptionally rare clinical entity.
Observation:
- A unique case involving multiple, gas-producing fungal bezoars within the urinary bladder is presented.
- The patient exhibited symptoms consistent with emphysematous cystitis, a severe bladder inflammation.
Findings:
- The causative agent identified was *Candida tropicalis*, a yeast species.
- The bezoars were characterized by the presence of gas, indicating active fungal metabolism or secondary bacterial action.
Implications:
- This case expands the known spectrum of rare fungal bladder complications.
- Highlights the importance of considering unusual fungal presentations in at-risk patient populations.
- Suggests potential diagnostic and therapeutic challenges associated with gas-forming fungal bezoars.
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