Abstract
A case of a 29-year-old male with cerebral palsy, congenital aplasia of the right kidney, and rare chromosomal abnormalities. The patient suffered from a persistent fever which did not respond to antimicrobial agents, followed by urinary retention on Day 12 of the fever. Increased white blood cell count, elevated CRP, and decreased renal function was observed by blood test. An enlarged left renal pelvis and cloudy suspended particles in the left renal pelvis, and a mass with equiluminance in the left ureter were observed by abdominal ultrasound. In addition, an obstruction in the ureter at a site consistent with the aforementioned mass was observed by contrast-enhanced CT scan. Urinary retention could be alleviated by nephrostomy and numerous white floating particles were observed in the urine. C. albicans was detected by blood and urine culture tests, and the white suspended particles in the urine was considered to be urinary tract mycetoma caused by C. albicans. in cases of delayed diagnosis, fungal urinary tract infections can form mycetoma, leading to urinary tract obstruction and acute kidney injury. Consequently, prompt diagnosis is needed. For persons (children) with severe mental and/or physical disabilities with a history of recurrent urinary tract infections, there is a risk of mycotic urinary tract infection. In cases of fever, mycotic urinary tract infection should be listed as a differential diagnosis, and a general urinalysis, Gram stain, and bacteriological examination should be performed.
