[Bilateral multifocal kidney abscess due to Candida albicans]

Area of Science:

• Nephrology
• Infectious Diseases
• Mycology

Background:

• Renal abscesses are uncommon urinary tract infection complications, often seen in immunocompromised individuals.
• Multifocal bilateral renal abscesses, especially those caused by Candida albicans, are exceptionally rare in medical literature.

Observation:

• A 20-year-old female with type 1 diabetes mellitus and a history of candidemia presented with flank pain and systemic symptoms.
• Abdominal tomography revealed bilateral multifocal renal abscesses; Candida albicans was identified in lesion samples.

Findings:

• The patient received a 6-week intravenous and 2-week enteral course of fluconazole.
• Clinical and imaging assessments showed significant improvement following antifungal therapy.

Implications:

• This case underscores the critical need for prompt diagnosis and management of renal abscesses in patients with complex conditions like diabetes.
• Vigilance for opportunistic fungal infections is paramount in diabetic patients with a history of candidemia.