A case of ureteral fungal mass removal in a patient taking empagliflozin

Andre Woloshuk, Matthew Lee, Mark Assmus, Deepak Agarwal, Amy Krambeck, Tim Large

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


With increased use of sodium-glucose co-transporter 2 (SGLT2) inhibitors as antidiabetic agents, the risk of serious fungal urinary tract infection (UTI) may be increased. We present the case of a 67-year-old Caucasian female who was admitted for emphysematous pyelitis and found to have a fungal ball in the renal pelvis. Candida glabrata was cultured and the patient was managed with percutaneous nephrostomy tube placement and antifungal treatment. The fungal ball persisted and required surgical removal with ureteroscopy and basket extraction. Fungal balls can be a difficult sequelae of UTIs requiring a combination of antifungal and surgical intervention for definitive management.

Original languageEnglish (US)
Pages (from-to)603-607
Number of pages5
JournalCEN case reports
Issue number4
StatePublished - Nov 1 2021
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2021. Japanese Society of Nephrology.


  • Ascending funguria
  • Endourology
  • Fungal bezoar
  • SGLT2 inhibitor

PubMed: MeSH publication types

  • Journal Article
  • Case Reports


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