Document Detail

Case report: bilateral ureteral obstruction secondary to Aspergillus bezoar.
MedLine Citation:
PMID:  16724902     Owner:  NLM     Status:  MEDLINE    
Ureteral obstruction as a result of a primary aspergillus infection is rare. Early clinical suspicion in immunosuppressed patients is essential to diagnosis. We report a case of a 50-year-old diabetic woman presenting with acute renal failure, sepsis, and bilateral ureteral obstruction. Initial management included bilateral percutaneous nephrostomy tubes. Urine culture from both the left and right renal pelvis grew Aspergillus flavus. The left-sided obstruction resolved with antifungal therapy. However, her right ureteral obstruction persisted and was managed with ureteroscopy and removal of the fungal bezoar.
Marc C Smaldone; Glenn M Cannon; Ronald M Benoit
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of endourology / Endourological Society     Volume:  20     ISSN:  0892-7790     ISO Abbreviation:  J. Endourol.     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-05-26     Completed Date:  2006-09-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8807503     Medline TA:  J Endourol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  318-20     Citation Subset:  IM    
Department of Urology, University of Pittsburgh School of Medicine, Pennsylvania 15213, USA.
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MeSH Terms
Aspergillosis / complications*,  diagnosis,  therapy
Aspergillus flavus*
Bezoars / etiology*,  therapy
Middle Aged
Ureteral Obstruction / diagnosis,  etiology*,  therapy

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