case_images: PMC11401131_01
case_images: A) The arrow indicates sediment in urine after centrifugation; B) Pseudohyphae and budding yeast (arrowheads) are observed under the microscope after Diff-Quik  staining of the urine sediment (400x).
case_images: vrf-15-435-g001.jpg
case_images: PMC11401131_01_vrf-15-435-g001.jpg
case_images: F1
case_images: Despite continuous fluconazole administration and bladder lavage for 7 days, no improvement was noted in clinical symptoms, and fungal budding yeast and pseudo-hyphae were still detected in the urine (Fig. 1).
case_images: Ultrasonographic findings of the bladder. A) Ultrasound at the time of diagnosis. B) Worsening of symptoms. A large amount of mobile echogenic ball-shaped matter without acoustic shadowing is observed. C) Ultrasound view before caspofungin administration. D) Bladder ultrasound after the termination of caspofungin administration. The previously seen spherical material is not identified.
case_images: vrf-15-435-g002.jpg
case_images: PMC11401131_01_vrf-15-435-g002.jpg
case_images: F2
case_images: Figure 2 shows the ultrasound examination of the substances in the bladder from the time of C. albicans diagnosis to the termination of treatment.