Treatment of Fungal Urinary Tract Infection

Lewis Thomas, Chad R. Tracy

Research output: Contribution to journalReview articlepeer-review

13 Scopus citations

Abstract

Funguria, and particularly candiduria, is an increasingly common problem encountered by the practicing urologist and is associated with high-acuity care, indwelling catheters, diabetes mellitus, antibiotic and steroid use, and urinary tract disease. In most cases, candiduria is asymptomatic and follows a benign clinical course with antifungal therapy only required in symptomatic or high-risk cases, because spontaneous resolution is common in patients with asymptomatic colonization. Rarely, invasive infections can occur (such as fungus balls or renal abscesses) and may require percutaneous and endoscopic interventions. This article highlights the workup and treatment of funguria and its related urologic manifestations.

Original languageEnglish
Pages (from-to)473-483
Number of pages11
JournalUrologic Clinics of North America
Volume42
Issue number4
DOIs
StatePublished - Nov 2015

Keywords

  • Amphotericin B
  • Candidemia
  • Candiduria
  • Fluconazole
  • Flucytosine
  • Funguria
  • Fungus ball

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