Noninvasive medical management of fungus ball uropathy in a premature infant.
Unilateral renal obstruction secondary to fungus balls is described in a premature infant. Noninvasive medical management, which included amphotericin B and 5-flucytosine therapy and forced diuresis, resulted in disappearance of fungus balls and resolution of the obstruction.
Alkalay
A L
AL
Ahmanson Pediatric Center, Department of Radiology, Cedars-Sinai Medical Center, University of California School of Medicine, Los Angeles 90048.
Srugo
I
I
Blifeld
C
C
Komaiko
M S
MS
Pomerance
J J
JJ
D000666:Amphotericin B / Q000097:blood / Q000627:therapeutic use*; D002177:Candidiasis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D004231:Diuresis; D005437:Flucytosine / Q000627:therapeutic use*; D006801:Humans; D006869:Hydronephrosis / Q000000981:diagnostic imaging / Q000382:microbiology / Q000628:therapy; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000382:microbiology; D007668:Kidney / Q000000981:diagnostic imaging; D008297:Male; D014463:Ultrasonography; D014517:Ureteral Obstruction / Q000150:complications / Q000382:microbiology* / Q000628:therapy
D000666:Amphotericin B; D005437:Flucytosine