Candiduria (Invasive candidiasis) - Fungal Infection

Question 1

Candiduria usually presents as?

Answer 1

Asymptomatic; if symptoms occur it would present as cystitis and pyelonephritis

Question 2

Candiduria is usually diagnosed by?

Answer 2

10,000 organisms or visualization of both yeast and pseudohyphae from fresh midstream urine or from single catherization urine collections

Question 3

What are the treatment options of patients with candiduria with no symptoms of cystitis?

Answer 3

Treatment option is usually not indicated

Question 4

Who are at high risk who should receive treatment even though they present with asymptomatic cystitis candiduria?

Answer 4

• Neonates

- Neutropenic adults

Question 5

How should a patient be treated if they’re undergoing a neurologic procedure but present with asymptomatic cystitis candiduria?

Answer 5

• Fluconazole OR
• Amphotericin B deoxycholate
  Duration: Several days before and after procedure

Question 6

How should a patient be treated if they present with symptoms of cystitis candiduria?

Answer 6

Fluconazole 200 mg/day x 2 weeks

Question 7

How should a patient be treated if they present with pyelonephritis candiduria?

Answer 7

Fluconazole 200-400 mg/day x 2 weeks