PMC9143780_01
(A) Abdominal ultrasonography showed dilation of the right ureter (red arrows). (B) Abdominal ultrasonography showed a fungal ball near the right ureteral orifice (red arrowheads). (C) Cystoscopy showed a fungal ball at the right ureteral orifice. (D) Cystoscopic removal of the fungal ball was performed. (E) Gram stain of the urine showed large gram-positive cocci and pseudohyphae.
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However, abdominal ultrasonography showed that the left ureteral dilatation had improved, but the right ureter remained dilated (Fig. 1A, red arrows), with a mass lesion near the right ureteral orifice (Fig. 1B, red arrowheads). Cystoscopy revealed a ball-shaped material at the right ureteral orifice, while there was no mass around the left ureteral orifice; therefore, the ball-shaped material was removed cystoscopically (Fig. 1C,D). Blood and urine culture revealed Candida albicans (Fig. 1E).