Percutaneous extraction of bilateral renal mycetomas in premature infant using mechanical thrombectomy device.
Although mycotic infections of the urinary system occur not infrequently, obstruction of the upper urinary tract because of mycetomas or fungus balls is exceedingly rare. Treatment consists of antifungal treatment and appropriate urinary drainage. In cases resistant to treatment with external drainage and chemotherapy, open surgery is typically performed to remove the mycetoma. However, this can also be achieved percutaneously using mechanical thrombectomy devices, as shown in this case of a 4-month-old infant presenting with renal failure due to bilateral obstructing mycetomas.
Shih
Ming-Chen Paul
MC
Division of Interventional Radiology, Department of Radiology, University of Virginia Health System, Charlottesville, Virginia 22908, USA.
Leung
Daniel A
DA
Roth
Jonathan A
JA
Hagspiel
Klaus D
KD
D058186:Acute Kidney Injury / Q000209:etiology; D002177:Candidiasis / Q000150:complications / Q000628:therapy*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000628:therapy*; D007674:Kidney Diseases / Q000628:therapy*; D009403:Nephrostomy, Percutaneous; D017131:Thrombectomy / Q000295:instrumentation*