阴道内真菌球由Candida albicans引起的糖尿病患者的性休克:一个案例报告
María Margarita Albarrán Gómez1, Victor Manuel Molgado Garza1, Carlos Manuel Cortés Becerra2
1Urology, Hospital Universitario Dr. José Eleuterio Gonzalez, Monterrey, MEX.
Cureus
|December 29, 2025
概括
菌性尿路感染可以形成阻塞性真菌球,特别是在糖尿病患者中. 这一案例凸显了对导致尿路阻塞和败血症的真菌贝索亚结合医疗和手术治疗的必要性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
- 菌类学 菌类学是指菌类学.
背景情况:
- 菌性尿路感染 (UTI) 是罕见的,但可能导致严重的并发症.
- 菌殖民可能导致球 (bezoars),可能导致尿路阻塞和败血症.
- 诱导因素包括糖尿病,尿路静止和长时间的导管治疗.
研究的目的:
- 报告一种导致阻塞性尿路病变和败血症休克的真菌腹病例.
- 强调尿路真菌球的诊断和管理策略.
主要方法:
- 一个61岁的男性患有糖尿病,呈现出败血症休克和无尿症的病例介绍.
- 诊断成像显示了一个带有空气局部的肠道质量.
- 尿液培养识别了白菌.
- 综合系统性抗真菌治疗和手术提取 (囊镜和开放手术) 的真菌 bezoar.
- 菌株病理学确认真菌结构.
主要成果:
- 成功地提取了一个大型的真菌豆.
- 治疗后的败血性休克,无尿症和尿道阻塞的解决.
- 随着全身可纳治疗和后续成像确认阻塞解决方案的患者康复.
结论:
- 尿路真菌球不常见,但识别至关重要,特别是在患有 kandiduria 和阻塞性症状的糖尿病患者中.
- 诊断依赖于由成像发现支持的临床怀疑.
- 有效的管理涉及系统性抗真菌剂的组合,并在必要时进行手术干预,以完全去除腹腔.
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