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Renal ve Perirenal Apsenin Nadir Bir Nedeni: Candida albicans

An Unusual Cause of Renal and Perirenal Abscesses: Candida albicans

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 2014
DOI: 
10.5262/tndt.2014.1001.11

Key Words:

Keywords (Original Language):

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Abstract (2. Language): 
A 42-year-old female with history of surgery due to urolithiasis was admitted to hospital with complaints of fever, left fl ank pain and vomiting. She was found to have acute kidney injury due to urinary tract infection. Abdominal computed tomography revealed right atrophic kidney and left renal and perirenal abscesses together with urolithiasis. Urine, blood and abscess cultures yielded C. albicans. The patient was treated with fl uconazole and percutaneous drainage of the perirenal abscess, which was 60 mm in diameter. Her serum creatinine returned to the normal ranges within two weeks of hospitalization. Nearly 18 months following this presentation, she has normal serum creatinine and no abscesses in the kidneys.
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Abstract (Original Language): 
Ürolitiyazis nedeniyle operasyon öyküsü olan 42 yaşında kadın hasta, ateş, sol yan ağrısı ve kusma şikayetiyle hastaneye başvurdu. İdrar yolu infeksiyonuna bağlı akut böbrek hasarı olduğu tespit edildi. Abdominal bilgisayarlı tomografi de sağ atrofi k böbrek, sol renal ve perirenal apseler ve sol üreterde taşlar tespit edildi. İdrar, kan ve apse kültürlerinde C.albicans üremesi tespit edildi. Hastaya fl ukonazol ve 60 mm çapındaki perirenal apseye perkütan drenaj uygulandı. Hastaneye yatışının ikinci haftasında serum kreatinin düzeyi normal sınırlara geriledi. Hastanın 18. aydaki kontrolünde serum kreatinin düzeyinin normal olduğu ve böbreklerde apse olmadığı saptandı.
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REFERENCES

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