Torulopsis Glabrata Perinephric Abscess

Torulopsis glabrata perinephric abscess has not been reported previously. The pathogenesis of the disease is by the ascending route, culminating in papillary necrosis and microabscesses that break into the perinephric space. Preoperative diagnosis is difficult and awareness of this entity is helpful. Treatment consists of surgery and systemic antifungal therapy. The recent antifungal agent, ketoconazole, is discussed.