genitourinary disorders
Fungal Urinary Tract Infections
Diagnosis of Fungal UTIs
Urine culture Evidence of tissue reaction (in cystitis) or pyelonephritis should be suspected in men with symptoms of Urethritis only when all other causes of urethritis have been excluded. Diagnosis ofCandidaUTI is by culture, usually from urine. The level at which candiduria reflects trueCandidaUTI and not merely colonization or contamination is unknown. DifferentiatingCandidacolonization from infection requires evidence of tissue reaction. Cystitis None Renal candidiasisis considered in patients with candiduria, passage of fungus balls, or risk factors, particularly with fever. Severe renal failure suggests postrenal obstruction. Imaging of the urinary tract may help reveal the degree of involvement. Blood cultures forCandidaare often negative. Unexplained candiduria should prompt evaluation of the urinary tract for structural abnormalities. 