Fungal bezoar of bladder in type 2 diabetic mellitus patient: A case report

A 54 year male, post operated case of bypass surgery presented to a Urologist with acute retention of urine. Patient was relieved by catheterization and bladder irrigation. WBC’s and RBC’s were increased in Urine. Cystoscopy revealed fungal balls in the bladder which on histopathological examination showed aseptate hyphae and spores. Patient was managed by systemic voriconazole and diluted povidone iodine bladder wash. Predisposing factors were diabetes mellitus and dyslipidemia. This case stresses the importance of considering isolated fungal urinary infections in predisposed individuals.