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Bacterial Urosepsis by a Fungal Ball Mimicking a Ureteral Stone
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Jae Hyung You, Myung Ki Kim
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Korean J Urogenit Tract Infect Inflamm 2014;9(2):115-118. Published online October 31, 2014
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 Abstract
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- Ureteral obstruction caused by a fungal ball is rare. Diabetes mellitus and immunocompromised conditions constitute the predisposing factors. Urosepsis due to unilateral ureteral obstruction with a fungal ball is extremely rare. The radiologic findings of fungal ball have been described as nonspecific. We report on a female patient with urosepsis that occurred by unilateral ureteral obstruction by a fungal ball, mimicking a ureteral stone. She was managed with systemic antibiotics, percutaneous nephrostomy, and ureteroscopic fungal ball removal.
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Urosepsis: Management and Prevention
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Myung Ki Kim, Hyung Jin Kim
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Korean J Urogenit Tract Infect Inflamm 2009;4(2):170-176. Published online October 31, 2009
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Abstract
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- "The urogenital tract is the source of sepsis in 25% of all cases, mostly as a consequence of acute pyelonephritis, obstructive urolithiasis or renal abscess. Urosepsis is associated with a considerably high mortality rate of 20∼42%, especially in elderly patients, diabetics, and those under immunosuppression. Septic shock and multiorgan failure are the most common causes of death in affected individuals. Patients with urosepsis should be diagnosed at an early stage, especially in the case of a complicated urinary tract infection. Early tissue oxygenation, appropriate initial antibiotic therapy and rapid identification and control of the septic focus in the urinary tract are critical steps in the successful management of a patient with severe urosepsis. Urosepsis can due to both community- or nosocomial-acquired infections. Most nosocomial urosepsis can be avoided by measures used to prevent nosocomial infection such as reduction of hospital stay, early removal of indwelling urethral catheters, avoidance of unnecessary urethral catheterizations, correct use of closed catheter systems and attention to simple daily asepsis techniques in order to avoid crossinfection."
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