Acute renal failure in a neonate due to pelviureteric candidal bezoars successfully treated with long-term systemic fluconazole.
Systemic candidiasis with renal involvement is a rare but well-recognized complication during intensive care treatment in very-low-birth-weight infants. We report a term neonate who developed anuria associated with bilateral bezoar formation in the renal pelvis and candidemia. The treatment consisted of placement of a nephrostomy tube in the left kidney, short-term irrigation with amphotericin B and iv, and later, oral administration of fluconazole.
Bergman
K A
KA
Department of Pediatrics, University Hospital Nijmegen, The Netherlands.
Meis
J F
JF
Horrevorts
A M
AM
Monnens
L
L
D058186:Acute Kidney Injury / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000382:microbiology; D000328:Adult; D001630:Bezoars / Q000150:complications / Q000188:drug therapy*; D002177:Candidiasis / Q000150:complications / Q000188:drug therapy*; D005260:Female; D015725:Fluconazole / Q000627:therapeutic use*; D006801:Humans; D007231:Infant, Newborn; D007668:Kidney / Q000382:microbiology; D008134:Long-Term Care; D014463:Ultrasonography
D015725:Fluconazole