UNEXPECTED CANDIDEMIA COMPLICATING URETEROSCOPY AND URINARY STENTING

Two elderly patients with obstructive renal calculi who developed Cand ida albicans bloodstream infection within 12h following ureteroscopy a nd ureteral stenting are described. Both patients were treated with pr olonged courses of broad-spectrum antibiotics and were found to have u rine cultures positive for Candida albicans prior to the urologic proc edures. One patient also developed bilateral candidal endophthalmitis. The clinical presentation was indistinguishable from bacteremia compl icating manipulation of the urinary tract. The patients were successfu lly treated with systemic antifungal therapy. Candiduria may present a risk for dissemination during invasive, relatively simple urologic pr ocedures.