[Neonatal renal candidiasis: a case report].
Neonatal renal candidiasis is an increasingly common condition affecting predominantly premature infants receiving neonatal intensive care or term infants with urogenital tract anomalies.


METHODS
a female infant was born by cesarian section at 30 weeks' gestation to a mother whose pregnancy had been complicated by rupture of membranes for 5 days. The infant was admitted at birth, maternofetal bacterial infection was suspected, and intravenous antibiotics were prescribed. The patient developed sepsis caused by Klebsiella pneumoniae at the age of 13 days. She was referred to our hospital at the age of 50 days because of renal abscess. At admission, the baby presented with hypothermia and abdominal distention. Renal ultrasonography findings were compatible with fungal disease. Blood, urine, and cerebrospinal fluid cultures were negative for fungi; however, galactomannan antigen blood levels were increased. Amphotericin B was administered for 6 weeks. End-organ evaluation of the heart, brain, and eyes did not demonstrate disseminated infection. The patient was discharged with a prescription for oral fluconazole and remained well at follow-up.
Service de pédiatrie générale, CHU Hédi Chaker, route El Ain Km 0,5, 3029 Sfax, Tunisie; Faculté de médecine de Sfax, Sfax, Tunisie. Electronic address: benameursalma@gmail.com.
S
S
Ben Ameur
Faculté de médecine de Sfax, Sfax, Tunisie; Service d'imagerie médicale, CHU Hédi Chaker, Sfax, Tunisie.
Y
Y
Hentati
Faculté de médecine de Sfax, Sfax, Tunisie; Service de chirurgie pédiatrie, CHU Hédi Chaker, Sfax, Tunisie.
M
M
Ben Dhaoui
Service de pédiatrie générale, CHU Hédi Chaker, route El Ain Km 0,5, 3029 Sfax, Tunisie; Faculté de médecine de Sfax, Sfax, Tunisie.
M
M
Weli
Service de pédiatrie générale, CHU Hédi Chaker, route El Ain Km 0,5, 3029 Sfax, Tunisie; Faculté de médecine de Sfax, Sfax, Tunisie.
T
T
Kamoun
Faculté de médecine de Sfax, Sfax, Tunisie; Service d'imagerie médicale, CHU Hédi Chaker, Sfax, Tunisie.
Z
Z
Mnif
Faculté de médecine de Sfax, Sfax, Tunisie; Service de chirurgie pédiatrie, CHU Hédi Chaker, Sfax, Tunisie.
R
R
Mhiri
Service de pédiatrie générale, CHU Hédi Chaker, route El Ain Km 0,5, 3029 Sfax, Tunisie; Faculté de médecine de Sfax, Sfax, Tunisie.
M
M
Hachicha
D002177:Candidiasis / Q000175:diagnosis / Q000188:drug therapy; D005260:Female; D006801:Humans; D007223:Infant; D007235:Infant, Premature, Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D007674:Kidney Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D011704:Pyelonephritis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*