title: Use of a mechanical thrombectomy catheter for percutaneous extraction of renal fungal bezoars in a premature infant.
abstract: 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.
authors.affiliation: Department of Pediatric Urology, Texas Children's Hospital, Houston, Texas, USA.
authors.forename: Jeffrey B
authors.initials: JB
authors.lastname: Campbell
authors.forename: F Glen
authors.initials: FG
authors.lastname: Seidel
authors.forename: Edmond T
authors.initials: ET
authors.lastname: Gonzales
mesh_terms: 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
chemical_list: D000935:Antifungal Agents; D000666:Amphotericin B