Diffuse fungal infiltration of collecting ducts or nipples
Introduction
Introduction Diffuse fungal infiltration by collecting ducts or nipples is one of the symptoms caused by fungal urinary tract infections. Fungi that cause invasive infections have been classified into primary pathogens and opportunistic pathogens. Primary infections occur in patients who appear to be healthy or have cell-mediated immune deficiency; opportunistic infections occur in patients with phagocytic dysfunction caused by various causes, including poor metabolism, chronic wasting disease, hormones or immunosuppressive therapy . Patients usually have chills, urgency, frequent urination, urinary turbidity, pyuria and other related symptoms.
Cause
Cause
Primary and opportunistic fungal infections.
Examine
an examination
Related inspection
12-hour urinary cell count kidney ultrasound
The disease can be asymptomatic and only pyuria, can also be a typical urinary tract infection, and even kidney failure. There are systemic fungal infections, often with systemic symptoms such as fever and chills. There are several types of urinary tract fungal diseases:
1. Pyelonephritis : its clinical manifestations are similar to bacterial pyelonephritis, which can be acute or chronic. There are two main forms: one is multiple renal cortical abscess; the other is diffuse fungal infiltration of collecting duct or nipple, which may have papillary necrosis. . These two forms often occur at the same time, often accompanied by fungal ball formation.
2. Cystitis type: more common in women, often secondary to the cure of bacterial cystitis. The main symptoms are frequent urination, urgency, nocturia, turbid urine or hematuria, occasional gasuria (due to the fermentation of urinary sugar by Candida in the urine), sometimes large fungal balls and granuloma formation in the bladder .
3. Ureteral obstruction type : caused by fungal balls. The fungal ball migrates to the ureter, and renal colic can occur. If the bilateral ureter is completely obstructed, there will be no urine, renal effusion and the like.
4. Kidney papillary necrosis : clinical manifestations and general renal papillary necrosis, due to nipple necrosis, IVP can be seen in a number of irregular small holes.
5. fistula type: There are reports of dermatitis buds, histoplasmosis, cryptococcal urinary tract infection can occur in the bladder colon fistula, urinary tract skin fistula.
Diagnosis
Differential diagnosis
It relies on pathogen examination to distinguish between trichomonas urinary tract, mycoplasma, chlamydia and other bacterial urinary sensations.
The disease can be asymptomatic and only pyuria, can also be a typical urinary tract infection, and even kidney failure. There are systemic fungal infections, often with systemic symptoms such as fever and chills. There are several types of urinary tract fungal diseases:
1. Pyelonephritis type: its clinical manifestations are similar to bacterial pyelonephritis, which can be acute or chronic. There are two main forms: one is multiple renal cortical abscess; the other is collecting duct or nipple diffuse fungal infiltration, which can have nipple Necrosis. These two forms often occur at the same time, often accompanied by fungal ball formation.
2. Cystitis type: more common in women, often secondary to the cure of bacterial cystitis. The main symptoms are frequent urination, urgency, nocturia, turbid urine or hematuria, occasional gasuria (due to the fermentation of urinary sugar by Candida in the urine), sometimes large fungal balls and granuloma formation in the bladder .
3. Ureteral obstruction type: caused by fungal balls. The fungal ball migrates to the ureter, and renal colic can occur. If the bilateral ureter is completely obstructed, there will be no urine, renal effusion and the like.
4. Kidney papillary necrosis : clinical manifestations and general renal papillary necrosis, due to nipple necrosis, IVP can be seen in a number of irregular small holes.
5. fistula type : There are reports of dermatitis buds, histoplasmosis, cryptococcal urinary tract infection can occur in the bladder colon fistula, urinary tract skin fistula.
