Acute obstructive fungus ball pyelonephritis with Candida parapsilosis: A case report

Key Clinical Message Fungal lithiasis is a rare but serious complication of candiduria. Frequent use of broad‐spectrum antibiotics is a contributing factor in predisposed subjects. Two CBEUs are required to confirm the diagnosis of candiduria. Anti‐fungal is found effective to eradicate the fungus ball besides surgery. Abstract Lithiasis by fungus ball is a serious complication of candiduria. Our case was a 58‐year‐old man who presented an acute obstructive pyelonephritis. Ultrasound revealed a left ureteral lithiasis. Biological examination revealed Candida parapsilosis. Antifungal was effective with good evolution. Broad‐spectrum antibiotic therapy is one favoring factor