• J. Med. Microbiol. · Dec 2008

    Case Reports

    Persistent Candida parapsilosis funguria associated with an indwelling urinary tract stent for more than 7 years.

    • Sheng-Yuan Ruan, Jung-Yien Chien, and Po-Ren Hsueh.
    • Department of Internal Medicine, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin, Taiwan, ROC.
    • J. Med. Microbiol. 2008 Dec 1; 57 (Pt 12): 1585-1587.

    AbstractCandiduria is an increasingly common condition, and the lack of effective antifungal treatment in many cases has raised great concern. We report a case of persistent Candida parapsilosis funguria associated with urinary tract instrumentation. Molecular typing suggested that during a 7 year period the C. parapsilosis isolates were all the same strain. Prolonged antifungal therapy and regular catheter replacement failed to eradicate the funguria, but improved urinary symptoms and pyuria. The antifungal susceptibility pattern did not significantly change during the clinical course despite repeated exposure to fluconazole.

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