Successful treatment of fungus balls due to fluconazole-resistant Candida sake obstructing ureter stents in a renal transplant patient

被引:17
作者
Arend, SM
Kuijper, EJ
de Vaal, BJ
de Fijter, JW
van't Wout, JW
机构
[1] Leiden Univ, Med Ctr, Dept Infect Dis, NL-2300 RC Leiden, Netherlands
[2] Leiden Univ, Med Ctr, Dept Med Microbiol, NL-2300 RA Leiden, Netherlands
[3] Leiden Univ, Med Ctr, Dept Nephrol, NL-2300 RA Leiden, Netherlands
关键词
D O I
10.1007/s10096-005-0066-y
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Reported here is the case of a 72-year-old renal transplant recipient with stenosis of the neo-ureter requiring stents, who was admitted to hospital with pyonephrosis caused by fungus balls. Fluconazole-resistant Candida sake was grown. Treatment with external drainage of the renal pelvis and intravenous and local administration of caspofungin resulted in relief of the obstruction. Eradication of the infection was achieved by surgical removal of the ureter with all stents and construction of a cysto-pyelostomy.
引用
收藏
页码:43 / 45
页数:3
相关论文
共 13 条
[1]   Echinocandin antifungal drugs [J].
Denning, DW .
LANCET, 2003, 362 (9390) :1142-1151
[2]  
Deresinski SC, 2003, CLIN INFECT DIS, V36, P1445, DOI 10.1086/375080
[3]   Comparison of in vitro activities of the new triazole SCH56592 and the echinocandins MK-0991 (L-743,872) and LY303366 against opportunistic filamentous and dimorphic fungi and yeasts [J].
Espinel-Ingroff, A .
JOURNAL OF CLINICAL MICROBIOLOGY, 1998, 36 (10) :2950-2956
[4]   Comparison of caspofungin and amphotericin B for invasive candidiasis. [J].
Mora-Duarte, J ;
Betts, R ;
Rotstein, C ;
Colombo, AL ;
Thompson-Moya, L ;
Smietana, J ;
Lupinacci, R ;
Sable, C ;
Kartsonis, N ;
Perfect, J .
NEW ENGLAND JOURNAL OF MEDICINE, 2002, 347 (25) :2020-2029
[5]   Guidelines for treatment of candidiasis [J].
Pappas, PG ;
Rex, JH ;
Sobel, JD ;
Filler, SG ;
Dismukes, WE ;
Walsh, TJ ;
Edwards, JE .
CLINICAL INFECTIOUS DISEASES, 2004, 38 (02) :161-189
[6]   FUNGAL-INFECTIONS IN SOLID-ORGAN TRANSPLANTATION [J].
PAYA, CV .
CLINICAL INFECTIOUS DISEASES, 1993, 16 (05) :677-688
[7]   In vitro activities of voriconazole, posaconazole, and four licensed systemic antifungal agents against Candida species infrequently isolated from blood [J].
Pfaller, MA ;
Diekema, DJ ;
Messer, SA ;
Boyken, L ;
Hollis, RJ ;
Jones, RN .
JOURNAL OF CLINICAL MICROBIOLOGY, 2003, 41 (01) :78-83
[8]   Multicenter randomized trial of fluconazole versus amphotericin B for treatment of candidemia in non-neutropenic patients [J].
Phillips, P ;
Shafran, S ;
Garber, G ;
Rotstein, C ;
Smaill, F ;
Fong, I ;
Salit, I ;
Miller, M ;
Williams, K ;
Conly, JM ;
Singer, J ;
Ioannou, S .
EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES, 1997, 16 (05) :337-345
[9]   Candida prosthetic valve endocarditis cured by caspofungin therapy without valve replacement [J].
Rajendram, R ;
Alp, NJ ;
Mitchell, AR ;
Bowler, ICJW ;
Forfar, JC .
CLINICAL INFECTIOUS DISEASES, 2005, 40 (09) :E72-E74
[10]   A RANDOMIZED TRIAL COMPARING FLUCONAZOLE WITH AMPHOTERICIN-B FOR THE TREATMENT OF CANDIDEMIA IN PATIENTS WITHOUT NEUTROPENIA [J].
REX, JH ;
BENNETT, JE ;
SUGAR, AM ;
PAPPAS, PG ;
VANDERHORST, CM ;
EDWARDS, JE ;
WASHBURN, RG ;
SCHELD, WM ;
KARCHMER, AW ;
DINE, AP ;
LEVENSTEIN, MJ ;
WEBB, CD .
NEW ENGLAND JOURNAL OF MEDICINE, 1994, 331 (20) :1325-1330