Isolated Fungal Balls in Urinary Bladder Presenting as Acute Retention of Urine

A 52-year-old male presented to surgery emergency with acute retention of urine. Patient was relieved in the emergency setting by catheterization and bladder irrigation. Urine was sterile; however, microscopy revealed field full of RBCs (>50/high-power field) and pus cells (>20/hpf). Cystoscop...

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Autores principales: Hameed, Tariq, Jain, Sudhir Kumar, Ansari, Faiz Manzar, Dua, Amrita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6964712/
https://www.ncbi.nlm.nih.gov/pubmed/31984148
http://dx.doi.org/10.1155/2020/4601474
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author Hameed, Tariq
Jain, Sudhir Kumar
Ansari, Faiz Manzar
Dua, Amrita
author_facet Hameed, Tariq
Jain, Sudhir Kumar
Ansari, Faiz Manzar
Dua, Amrita
author_sort Hameed, Tariq
collection PubMed
description A 52-year-old male presented to surgery emergency with acute retention of urine. Patient was relieved in the emergency setting by catheterization and bladder irrigation. Urine was sterile; however, microscopy revealed field full of RBCs (>50/high-power field) and pus cells (>20/hpf). Cystoscopy revealed fungal balls in the urinary bladder which upon histopathological examination showed Aspergillus species. Patient was managed with systemic voriconazole and bladder wash with diluted povidone iodine. Predisposing factors diabetes mellitus and benign prostatic hyperplasia were medically managed, and patient recovered well. This case stresses the importance of considering isolated fungal urinary infections in predisposed individuals.
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spelling pubmed-69647122020-01-24 Isolated Fungal Balls in Urinary Bladder Presenting as Acute Retention of Urine Hameed, Tariq Jain, Sudhir Kumar Ansari, Faiz Manzar Dua, Amrita Case Rep Urol Case Report A 52-year-old male presented to surgery emergency with acute retention of urine. Patient was relieved in the emergency setting by catheterization and bladder irrigation. Urine was sterile; however, microscopy revealed field full of RBCs (>50/high-power field) and pus cells (>20/hpf). Cystoscopy revealed fungal balls in the urinary bladder which upon histopathological examination showed Aspergillus species. Patient was managed with systemic voriconazole and bladder wash with diluted povidone iodine. Predisposing factors diabetes mellitus and benign prostatic hyperplasia were medically managed, and patient recovered well. This case stresses the importance of considering isolated fungal urinary infections in predisposed individuals. Hindawi 2020-01-04 /pmc/articles/PMC6964712/ /pubmed/31984148 http://dx.doi.org/10.1155/2020/4601474 Text en Copyright © 2020 Tariq Hameed et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Hameed, Tariq
Jain, Sudhir Kumar
Ansari, Faiz Manzar
Dua, Amrita
Isolated Fungal Balls in Urinary Bladder Presenting as Acute Retention of Urine
title Isolated Fungal Balls in Urinary Bladder Presenting as Acute Retention of Urine
title_full Isolated Fungal Balls in Urinary Bladder Presenting as Acute Retention of Urine
title_fullStr Isolated Fungal Balls in Urinary Bladder Presenting as Acute Retention of Urine
title_full_unstemmed Isolated Fungal Balls in Urinary Bladder Presenting as Acute Retention of Urine
title_short Isolated Fungal Balls in Urinary Bladder Presenting as Acute Retention of Urine
title_sort isolated fungal balls in urinary bladder presenting as acute retention of urine
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6964712/
https://www.ncbi.nlm.nih.gov/pubmed/31984148
http://dx.doi.org/10.1155/2020/4601474
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