Bladder fungoma (fungal bezoar) by two Candida species in Medellín, Colombia: a case report and review of the literature

The presence of fungal infections in the urinary bladder is rare; there are no extensive reviews on this subject in current literature, even less with the presence of two different types of fungi in the same culture. We present a case of an 82-years-old male patient with a history of benign prostatic hyperplasia (BPH) and type 2 diabetes mellitus (DM2) who underwent a simple suprapubic prostatectomy. Shortly thereafter, he was readmitted to the emergency room with symptoms of fever and urinary distress, eventually diagnosed with a fungal infection caused by Candida tropicalis and Candida glabrata in the urinary bladder, secondary to prostatic hyperplasia. He was admitted for assessment and multidisciplinary management. Guided treatment with caspofungin 50mg every 12 hours for 14 days resulted in clinical improvement. Proper diagnostic approaches are crucial for effective management of bladder fungomas, ensuring optimal patient outcomes.