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Case Reports
. 2013 Aug 23:2013:bcr2013009087.
doi: 10.1136/bcr-2013-009087.

Candida dubliniensis encrustation of an obstructing upper renal tract calculus

Dermot O'Kane  1 , Anthony Kiosoglous, Kay Jones
Affiliations
Case Reports

Candida dubliniensis encrustation of an obstructing upper renal tract calculus

Dermot O'Kane et al. BMJ Case Rep. .

Abstract

We present the case of a 53-year-old man, with a history of alcohol abuse, requiring intensive care unit admission, with an obstructing right upper renal calculus and Klebsiella pneumoniae urosepsis. Ureteroscopic treatment of this obstruction displayed a small calculus within the renal pelvis completely encapsulated within a fungal bezoar. Laboratory analysis of the fungal mass found it to be Candida dubliniensis.

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Figures

Figure 1
Figure 1
Retrograde pyelogram displaying a large (30 mm) filling defect within the right renal pelvis.
Figure 2
Figure 2
Non-contrast CT abdomen displaying the offending right renal calculus (12×8×16 mm).
Figure 3
Figure 3
Wet preparation of hyphal mass (magnification ×400).
See this image and copyright information in PMC

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