title: Successful treatment of bilateral renal fungal balls with liposomal amphotericin B and fluconazole in an extremely low birth weight infant.
abstract: At the age of 8 weeks, an extremely low birth weight infant (gestational age 26 0/7 weeks, birth weight 740 g) had non-obstructing bilateral renal fungal balls. Urine cultures had repeatedly grown Candida albicans. Combination therapy with liposomal amphotericin B intravenously and fluconazole orally was administered for 6 weeks. Monotherapy with fluconazole was then continued until complete resolution of the renal fungal balls.
  
  
  CONCLUSIONS
  Combination therapy with liposomal amphotericin B and fluconazole was successful in eliminating non-obstructing bilateral renal fungal balls and obviated the need for surgical intervention.
authors.affiliation: Department of Paediatrics, Kinderspital Luzern, Switzerland.
authors.forename: M
authors.initials: M
authors.lastname: Stocker
authors.forename: J H
authors.initials: JH
authors.lastname: Caduff
authors.forename: J
authors.initials: J
authors.lastname: Spalinger
authors.forename: T M
authors.initials: TM
authors.lastname: Berger
mesh_terms: D000666:Amphotericin B / Q000627:therapeutic use*; D000935:Antifungal Agents / Q000627:therapeutic use*; D002177:Candidiasis / Q000188:drug therapy*; D004359:Drug Therapy, Combination; D015725:Fluconazole / Q000627:therapeutic use*; D006801:Humans; D007231:Infant, Newborn; D019102:Infant, Very Low Birth Weight; D007674:Kidney Diseases / Q000188:drug therapy* / Q000382:microbiology; D012074:Remission Induction
chemical_list: D000935:Antifungal Agents; C068538:liposomal amphotericin B; D000666:Amphotericin B; D015725:Fluconazole