Coexisting bacterial pyelonephritis and bilateral ureteral fungus balls in a diabetic patient. Case report
Mitchell, K.M.
Journal of the Florida Medical Association 77(6): 596-599
1990
ISSN/ISBN: 0015-4148 PMID: 2196332 Document Number: 362200
Bacterial pyelonephritis is a common precipitating factor in the development of diabetic ketoacidosis. Prompt diagnosis and appropriate antimicrobial therapy usually result in resolution of constitutional symptoms and adequate control of serum glucose. However, occasional cases of presumed bacterial pyelonephritis may not respond to appropriate empiric antibiotic therapy, then causes should be sought such as obstruction or untreated fungal infections of the urinary tract. In this case a diabetic patient with classical pyelonephritis was found to have bilateral ureteral fungus balls as the underlying cause of refractory infection.