Survival of a premature neonate with obstructive anuria due to Candida: the role of early sonographic diagnosis and antimycotic treatment

A low birth weight premature neonate with systemic candidiasis developed complete renal obstruction by fungus balls, diagnosed by ultrasonography. The neonate was treated with temporary urinary diversion, amphotericin B, 5-fluorocytosine and survived. This case emphasizes the need for a high index o...

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Veröffentlicht in:	European journal of pediatrics 1988-08, Vol.147 (6), p.653-655
Hauptverfasser:	Yadin, O, Gradus Ben-Ezer, D, Golan, A, Sober, I, Barki, Y, Carmi, R
Format:	Artikel
Sprache:	eng
Schlagworte:	Amphotericin B - therapeutic use Anuria - etiology Candidiasis - complications Candidiasis - diagnosis Candidiasis - drug therapy Drug Therapy, Combination Flucytosine - therapeutic use Humans Infant, Newborn Male Ultrasonography Ureteral Obstruction - etiology Urography
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Zusammenfassung:	A low birth weight premature neonate with systemic candidiasis developed complete renal obstruction by fungus balls, diagnosed by ultrasonography. The neonate was treated with temporary urinary diversion, amphotericin B, 5-fluorocytosine and survived. This case emphasizes the need for a high index of suspicion of renal obstruction by fungus balls in neonates with systemic candidiasis when renal function deteriorates. In such cases early urinary diversion can be life-saving.
ISSN:	0340-6199 1432-1076
DOI:	10.1007/BF00442485