Explanation: IDSA Candidiasis guidelines recommend AGAINST treatment in asymptomatic candiduria. Patients should only be treated if they are: -neutropenic -low birth weight infants -having urologic manipulations -symptomatic
Our patient has NONE of the above so treatment isn’t required 🎉 If he was symptomatic fluconazole is typically first line for cystitis and pyelonephritis secondary to Candida spp.

When considering alternatives keep pharmacokinetics in mind 🧠 Echinocandins like micafungin do not distribute into the urine and are NOT recommended for Candida UTIs ❌ The same is true for lipid forms of amphoteracin B so deoxycholate formulations should be used instead.

It doesn’t matter if it’s bacteria or fungi! Remember: symptoms free pee, let it be 👏