Urolog. pro Praxi, 2005; 3: 99-102

MYCOTIC INFECTION - PATHOPHYSIOLOGY AND PATHOLOGY OF URINARY TRACT INVOLVEMENT

MUDr. Zbyněk Veselský Ph.D1, MUDr. Miroslav Förstl2, doc. Ing. Vladimír Maťha DrSc3, MUDr. Petr Macek4, MUDr. Božena Jurašková Ph.D5, prof. MUDr. Peter Višňovský CSc6, doc. MUDr. Jindřich Tošner CSc7, MUDr. Jiří Špaček7, MUDr. Ivo Kalousek Ph.D7, Jiří Petera8, doc. MUDr. Karel Odrážka Ph.D9, MUDr. Miloslava Vaculíková9, Mgr. Jarmila Macháčková Ph.D10
1 Urocentrum Praha, s.r.o
2 Ústav klinické mikrobiologie FN a LF UK Hradec Králové
3 Vědecké a výzkumné oddělení IVAX Pharmaceuticals, Miami, USA
4 Urologická klinika FN a LF UK Hradec Králové
5 Klinika gerontologická a metabolická, FN Hradec Králové
6 Farmaceutická fakulta UK Hradec Králové, Katedra farmakologie a toxikologie
7 Porodnická a gynekologická klinika, LF UK a FN v Hradci Králové
8 Univerzita obrany, Fakulta vojenského zdravotnictví, katedra válečného vnitřního lékařství, Hradec Králové
9 Klinika onkologie a radioterapie FN a LF UK Hradec Králové
Ústav farmakologie LF UK v Hradci Králové;10

Mycotic infection of urinary tract with an exception of balanoposthitis mycotica are not frequent in current practice, however they are always serious. Not circumcised man is usually infected during an intercourse with a partner suffering mycosis of vulva and vagina and presents clinically as mycotic balanitis (balanoposthitis mycotica), or possibly as urethritis (urethritis non-specifica, u. mycotica). Circumcised man is infected rarely and must have clinical predisposition (long term exposure, imunodeficit). In female primary infection is located in vagina and secondary in urinary tract, but only in case of underlying disposition (inborn defect of urinary tract, systemic disease, immune disorders or malignities). A major clinical impact of these infections carry patients with immune deficits (after transplantations, malignancies, inborn immune disorders, in intensive care units, cathetrized patients), when the most frequent source of infection is gastrointestinal tract. In predisposed patients fungemia has fatal course in 5–37 %.

Keywords: Key words: mycosis, aspergillosis, candidiasis, zygomycosis, urogenital tract.

Published: January 1, 2006  Show citation

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Veselský Z, Förstl M, Maťha V, Macek P, Jurašková B, Višňovský P, et al.. MYCOTIC INFECTION - PATHOPHYSIOLOGY AND PATHOLOGY OF URINARY TRACT INVOLVEMENT. Urol. praxi. 2005;6(3):99-102.
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