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Case Reports
. 2023 Aug 5:50:102517.
doi: 10.1016/j.eucr.2023.102517. eCollection 2023 Sep.

Intravesical Mycetoma misdiagnosed as enterovesical fistula

Livia Huber  1 , Paul F Engelhardt  1   2 , Claus Riedl  1
Affiliations
Case Reports

Intravesical Mycetoma misdiagnosed as enterovesical fistula

Livia Huber et al. Urol Case Rep. .

Abstract

Fungus formation in the urinary tract mainly occurs in immunosuppressed patients, and is a rare and dangerous complication of candiduria that is commonly misdiagnosed. We report a case of intravesical mycetoma associated with hydronephrosis, initially diagnosed as enterovesical fistula. Cystoscopy revealed spongy material within the urinary bladder, and histopathological examination showed Mycetoma of Candida species. The urine culture showed Candida tropicalis. Endoscopic removal and antifungal therapy with fluconazole was initiated, and no complications occurred during follow-up.

Keywords: Candiduria; Fluconazole; Funguria; Urinary bladder.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationship that could have appeared to influence the work reported in this paper.

Figures

Fig. 1
Fig. 1
(A) CT scan of the abdomen: thickened urinary bladder, partly filled with air, (B) cystocsopy: reflux and material within the bladder, gas bubbles, (C) spongy material.
See this image and copyright information in PMC

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