[Management of obstructive renal candidiasis. Report of a clinical case].
Neonatal renal candidiasis is a rare complication but serious, associated with prematurity, immunodeficiency, parenteral nutrition and other risk factors, with a mortality rate until 50%. We describe a neonate premature of 28 weeks who developed septicaemia by Candida, complicated with bilateral ureterohydronephrosis and intrapelvic fungus ball. The patient was managed by bilateral nephrostomy drainage and amphotericin B local irrigation, anyway with systemic amphotericin B together with oral fluconazol, needing subsequently bilateral open surgery and external drainage. The infection was eradicated, reaching the patient a gradual healing.
Alvarez Kindelán
J
J
Servicio de Urología, Hospital Universitario Reina Sofia, Córdoba.
Alameda Aragonéses
V
V
Regueiro López
J C
JC
Prieto Castro
R
R
Carmona Campos
E
E
Anglada Curado
F
F
Requena Tapia
M J
MJ
D002177:Candidiasis / Q000628:therapy*; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000382:microbiology* / Q000628:therapy*; D007674:Kidney Diseases / Q000382:microbiology* / Q000628:therapy*; D008297:Male