Bladder fungoma (fungal bezoar) by two Candida species in Medellín, Colombia: a case report and review of the literature
- Urology & Nephrology Open Access Journal
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Hernan D Aristizabal,1,3 Andrés F
Aristizabal,2,3 Camilo Girado-Villegas,3,4
Daniel Aristizabal4
Abstract
The presence of fungal infections in the urinary bladder is rare; there are no extensive
reviews on this subject in current literature, even less with the presence of two different
types of fungi in the same culture. We present a case of an 82-years-old male patient with
a history of benign prostatic hyperplasia (BPH) and type 2 diabetes mellitus (DM2) who
underwent a simple suprapubic prostatectomy. Shortly thereafter, he was readmitted to the
emergency room with symptoms of fever and urinary distress, eventually diagnosed with a
fungal infection caused by Candida tropicalis and Candida glabrata in the urinary bladder,
secondary to prostatic hyperplasia. He was admitted for assessment and multidisciplinary
management. Guided treatment with caspofungin 50mg every 12 hours for 14 days resulted
in clinical improvement. Proper diagnostic approaches are crucial for effective management
of bladder fungomas, ensuring optimal patient outcomes.
Keywords
urinary bladder, infections, urogenital surgical procedures, candida glabrata, candida tropicalis
