Candida Renal Infection

Candida renal is also called Renal candidiasis and can occur when a person has a systemic yeast infection, or Fungemia candida. This is where the candida has entered the blood stream and can affect internal organs in this case the kidneys. Candida Renal is something that affects only those with weak immune systems, people in critical care in hospital, HIV or AIDS patients, chemotherapy treatment patients, surgical patients, diabetics, low weight newborns, burn patients and so on. It is not something you can get if you are otherwise a healthy person, it is not something that can develop because you have candida cystitis, or UTIs.

Complications of Candida renal
Usually candida renal originates from the gastrointestinal tract and patients with catheters, nephrostomy tubes and such devices. The immunocompromised and immunosuppressed are most at risk as well those undergoing kidney transplants. Complications that can arrise with this condition include fungal balls in the bladder, ureter or renal pelvis, pyelonephritis, emphysematous cystitis, and bezoars can form on the bladder causing obstruction. Other complications include perinephric abscesses, papillary necrosis, a decline in renal function.

Symptoms of Candida renal infection
In fact most patients lack specific kidney symptoms when dealing with hematogenously spread candida renal infection. However other symptoms they may show include;

  • a fever that is resistant to antibiotic treatment
  • deteriorating renal function
  • fungus balls
  • abdominal pain
  • hypertension
  • there may be evidence of candidiasis in other areas of the body
  • flu like symptoms
  • rigors
  • lumbar pain

Diagnosing a candida renal infection
If a fever, candiduria or the passage of fungus balls is observed the doctor may consider a candida renal infection. Urinalysis and renal biopsy may be performed. An image can be taken of the urinary tract and can help tell how severe the condition is. Blood cultures can be taken but they are unreliable as they can be negative. Sometimes it is not discovered until an autopsy is performed.

Treating candida renal
Treatment is given for symptomatic patients or for those who are high risk. Anti-fungal drugs are administered often a combination of fluconazole and amphotericin B. But there is a rise in less common candida species being the cause of systemic infections and some of these prove resistant to fluconazole so other options may be used.

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