FUNGUS BALL OF THE URINARY-TRACT ASSOCIATED WITH SYSTEMIC CANDIDIASIS

We report a case of an obstructing fungus ball of the urinary tract. T ypical predisposing factors were present, i.e. bladder catheter, vesic o-ureteral reflux, urinary infection, parenteral nutrition, prolonged antibiotherapy, hyperglycemia. Candida albicans septicemia was noted. Diagnosis was made by percutaneous nephrostomy under echographic contr ol allowing urinary sampling (C. albicans) and anterograde pyelography showing an ureteral stenosis. Urinary drainage and local and general administration of amphotericin lead to a complete resolution of the fu ngus ball and the systemic candidiasis.