The urine is frequently among the sites colonized hospital and Candiduria still poses problems of interpretation. Indeed, the discovery of yeast in the urine can be the witness of contamination, a simple colonization or the first sign of invasive infection. We report the case of an elderly patient de66ans hospitalized in urology for management of bladder cancer who underwent radical cystoprostatectomy more bilateral lymphadenectomy and entérocystoplastie.Le patient was taken to dropping a point of ileo-ileal anastomosis responsible liquidiennes food and leaks then the patient was transferred to intensive care. During his stay he presented a febrile syndrome, ECBU objectified candiduria Candida albicans. The evolution was marked by the installation of a septic shock, blood culture came back positive for Candida albicans. Fluconazole has been started but the patient is décédé48h after. Candiduria may be a marker of dissemination in patients at risk with a high severity score. She was also associated with candidemia in 1.3 to 10% depending on the study. In subjects in ICU Candiduria could predict Candida invasion and should justify antifungal treatment and a close monitoring for mycological diagnosis precocity and better therapeutic management.