How does Candida cystitis (UTI) differ from cystitis caused by other pathogens and how is it diagnosed?

Updated: Aug 27, 2019
  • Author: John L Brusch, MD, FACP; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Cystitis caused by Candida is clinically similar to cystitis from other pathogens. The presence of fungus in the urine should be verified by repeating the urinalysis and urine culture. Other features of diagnosis are as follows [24] :

  • Pyuria is a nonspecific finding

  • C glabrata may be differentiated from other species by morphology

  • Candida casts in the urine indicate renal candidiasis but are rarely seen

  • Colony counts have not proved diagnostically useful

Ultrasonography of the kidneys and collecting systems is the preferred initial study in symptomatic or critically ill patients with candiduria, but computed tomography is better for detecting pyelonephritis or perinephric abscess. [24]


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