VIN-CENT WUCHENG-CHUNG FANGWEN-YI LIPO-REN HSUEHTZONG-SHINN CHU2020-09-282020-09-2820040301-0430https://www.scopus.com/inward/record.uri?eid=2-s2.0-10644250745&doi=10.5414%2fcnp62473&partnerID=40&md5=0b8a3a3ab04c2deacb48ab260fbc8274https://scholars.lib.ntu.edu.tw/handle/123456789/515228Although the kidney is often involved in disseminated and localized candidiasis, bilateral emphysematous pyelonephritis (EPN) is infrequently reported. Renal papillary necrosis (RPN) caused by fungi is also rare. We describe a patient with bilateral RPN and EPN caused by Candida tropicalis, who suffered from recurrent hematuria, flank pain, acute fulminant renal failure, and obstruction by a sloughed papilla. He was treated successfully with antifungal therapy and percutancous nephrostomy (PCN). This is the first case report of C. tropicalis-associated EPN and RPN. ?2004 Dustri-Verlag Dr. K. Feistle.[SDGs]SDG3fluconazole; oral antidiabetic agent; adult; article; Candida tropicalis; candidiasis; case report; clinical feature; disease association; echography; flank pain; hematuria; hemodialysis; hepatitis B; hepatitis C; human; kidney failure; kidney function test; kidney papilla necrosis; laboratory diagnosis; liver cirrhosis; male; non insulin dependent diabetes mellitus; percutaneous nephrostomy; pyelonephritis; urinalysis; urinary tract obstructionjournal article10.5414/cnp62473156309092-s2.0-10644250745