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作者报告两例念珠菌感染,真菌球阻塞尿路病例。例1女,59岁,因糖尿病,全黄色葡萄球菌败血症并发化脓性心包炎住院,有肾盂积水进行左尿道再植术病史。经外科心包引流和抗生素治疗后病情好转,治疗30天后,又出现发热40℃,血培养5次和尿检查有白色念球菌生长。血清学阳性,血肌酐262μmol/1。肾超声波显示两侧扩张,静脉肾盂造影见右侧一个肾盂腔隙,占几乎整个肾盂,逆行尿道肾盂造影,右侧输尿管有许多白色碎屑。经右腰肾盂切开术,取出由真菌碎屑构成的致密白色浆糊
The authors report two cases of candida infection, fungal ball obstruction urinary tract cases. Example 1 Female, 59 years old, hospitalized for diabetes, Staphylococcus aureus septicemia complicated with purulent pericarditis, history of left urethral replantation with hydronephrosis. Surgical pericardial drainage and antibiotics improved after treatment, 30 days after treatment, and fever appeared 40 ℃, blood culture 5 times and urine check Candida albicans growth. Serological positive, serum creatinine 262μmol / 1. Renal ultrasound showed expansion on both sides, see a renal pelvis on the right renal pelvis, accounting for almost the entire renal pelvis, retrograde urethral pyelography, the right ureter has many white debris. The right lumbar celiotomy, remove the dense white paste composed of fungal debris