Sivasubramanian G, Sobel JD Refractory urinary tract and vulvovaginal infection caused by Candida krusei. [Journal Article] Int Urogynecol J Pelvic Floor Dysfunct 2009 Nov; 20(11):1379-81.
Candida krusei is an uncommon cause of vaginitis and cystitis but is unique because of the management challenge it poses due to intrinsic resistance to fluconazole and flucytosine. We report a case of C. krusei vaginitis and cystitis successfully managed with topical vaginal and intravesical amphotericin B. The challenges in managing C. krusei cystitis and the role of amphotericin B bladder irrigation in the management of fungal urinary tract infections are discussed.
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