Use of a mechanical thrombectomy catheter for percutaneous extraction of renal fungal bezoars in a premature infant.
Fungal urinary tract infections are commonly encountered in the hospitalized neonate. Although these infections most commonly take the form of cystitis, the infection may be complicated by the formation of fungal bezoars, with subsequent urinary tract obstruction. In certain cases, endosurgical debulking or extraction of the fungal bezoar may be necessary. This is particularly challenging in neonates due to their often-compromised physiologic state and small size. We report a case of a premature infant with bilateral obstructing renal fungal bezoars in whom a percutaneous catheter-based thrombectomy system was used successfully to debulk the fungal burden.
Campbell
Jeffrey B
JB
Department of Pediatric Urology, Texas Children's Hospital, Houston, Texas, USA.
Seidel
F Glen
FG
Gonzales
Edmond T
ET
D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D001630:Bezoars / Q000000981:diagnostic imaging / Q000601:surgery*; D002176:Candida albicans; D002177:Candidiasis / Q000150:complications* / Q000188:drug therapy; D002404:Catheterization; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology / Q000601:surgery; D007231:Infant, Newborn; D007234:Infant, Premature; D007668:Kidney / Q000000981:diagnostic imaging / Q000601:surgery*; D009403:Nephrostomy, Percutaneous; D017131:Thrombectomy / Q000295:instrumentation*; D014463:Ultrasonography; D014552:Urinary Tract Infections / Q000150:complications* / Q000188:drug therapy
D000935:Antifungal Agents; D000666:Amphotericin B