Yıl: 2004 Cilt: 67 Sayı: 3 Sayfa Aralığı: 162 - 166 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

The management of renal candidiasis in a newborn infant with posterior urethral valve

Öz:
Renal candidiasis with fungal bezoars in the newborn infant is rarely encountered. We report a newborn with renal candidiasis and posterior uretral valve treated by local irrigation of the kidneys (three weeks) with amphotericin B via percutaneously inserted nephrostomy catheter, in combination with intravenous flucanazol (four weeks). Renal function subsequently improved and fungal bezoars disappeared sonographically. No side effects were observed during the follow up. We suggest that local irrigation with amphotericin B in combination with systemic flucanazol may be the initial treatment of renal candidiasis, aiming at both the restoration of renal function and the eradication of the fungal infection.
Anahtar Kelime: Urethra Infant, Newborn Amphotericin B Candidiasis Nephrostomy, Percutaneous

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
  • 1. Hari P, Srivastava A, Gupta AK, Srivastava RN: Neonatal renal failure due to obstructive candidal bezoars. Pediatr Nephrol 1997; 11:497.
  • 2. Rebhandl W, Saadi S, Herneth AM, Presterl E, Kurosh P, Wandl-Vergesslich K, Horcher E: Successful conservative treatment of severe renal candidiasis with fungus balls. Pediatr Nephrol 1999; 13:688.
  • 3. Üçsel R, Çoban A, Metin F, et al: The management of renal candidiasis in the newborn. Turk J Pediatr 1996; 38:239.
  • 4. Baley JE: Neonatal candidiasis The current challenge. Clin Perinatol 18:263(1991).
  • 5. Pappu LD, Purchit DM, Bradford BF, Turner WR, Levkoff AH: Primary renal candidiasis in two preterm neonates. Report of cases and review of literature on renal candidiasis in infancy. Am J Dis Child 1984; 138:923.
  • 6. Butler KM, Bajer CJ: Candida: an increasingly important pathogen in the nursey. Pediatr Clin North Am 1988; 35:543.
  • 7. Hughes PA, Lepow ML, Hill HR: Neonatal candidiasis. In: Bodey GP (eds) Candidiasis: pathogenesis, diagnosis and treatment. New York: Raven 1993; 261.
  • 8. Phillips JR, Karlowicz MG: Prevalence of Candida species in hospital-acquired urinary tract infections in a neonatal intensive care unit. Pediatr Infect Dis J 1997; 16:190.
  • 9. Noe HN, Tonkin ID: Renal candidiasis in the neonate. J Urol 1981; 127:517.
  • 10. Hurley R, Winner HI: Experimental renal moniliasis in the mouse. J Pathol Bacteriol 1963; 86:75.
  • 11. Kozinn DJ, Taschdjiyan CL, Goldberg PK, Wise GJ, Toni EF, Seeling MS: Advances in the diagnosis of renal candidiasis. J Urol 1978; 119:184.
  • 12. Keller MA, Sellers BB, Melish MF, Kaplan GW, Miller KE, Mendoza SA: Systemic candidiasis in infants. A case presentation and literature review. Am J Dis Child 1977; 131:1260.
  • 13. Cohen HL, Haller OJ, Schlechter S, Slovis T, Merola R, Eaton D: Renal candidiasis of the infant: ultrasound evaluation. Urol Radiol 1986; 8:17.
  • 14. Aktuğ T, Olguner M, Akgür FM, Aldırmaz C, Hoşgör M, Yuluğ N: A new ancient irrigation therapy for childhood renal candidiasis. Int Urol Nephrol 1998; 30:127.
  • 15. Visser D, Monnens L, Feitz W, Semmekrot B: Fungal bezoars as a cause of renal insufficiency in neonates and infants-recommended treatment strategy. Clin Nephrol 1998; 49:198.
  • 16. Schware R, Penk A, Pittrow L. Administration of fluconazole in children below 1 year of age. Mycoses 1999; 42:3.
  • 17. Yoo SY, Namkoong MK: Acut renal failure caused by fungal bezoar: a late complication of Candida sepsis associated with central catheterization. J Pedatr Surg 1995; 30:1600
APA ÖKTEM F, BİLGE I, Rozanes İ, Emre S, ŞİRİN A, ZİYLAN O (2004). The management of renal candidiasis in a newborn infant with posterior urethral valve. , 162 - 166.
Chicago ÖKTEM Faruk,BİLGE Ilmay,Rozanes İzzet,Emre Sevinç,ŞİRİN Aydan,ZİYLAN Orhan The management of renal candidiasis in a newborn infant with posterior urethral valve. (2004): 162 - 166.
MLA ÖKTEM Faruk,BİLGE Ilmay,Rozanes İzzet,Emre Sevinç,ŞİRİN Aydan,ZİYLAN Orhan The management of renal candidiasis in a newborn infant with posterior urethral valve. , 2004, ss.162 - 166.
AMA ÖKTEM F,BİLGE I,Rozanes İ,Emre S,ŞİRİN A,ZİYLAN O The management of renal candidiasis in a newborn infant with posterior urethral valve. . 2004; 162 - 166.
Vancouver ÖKTEM F,BİLGE I,Rozanes İ,Emre S,ŞİRİN A,ZİYLAN O The management of renal candidiasis in a newborn infant with posterior urethral valve. . 2004; 162 - 166.
IEEE ÖKTEM F,BİLGE I,Rozanes İ,Emre S,ŞİRİN A,ZİYLAN O "The management of renal candidiasis in a newborn infant with posterior urethral valve." , ss.162 - 166, 2004.
ISNAD ÖKTEM, Faruk vd. "The management of renal candidiasis in a newborn infant with posterior urethral valve". (2004), 162-166.
APA ÖKTEM F, BİLGE I, Rozanes İ, Emre S, ŞİRİN A, ZİYLAN O (2004). The management of renal candidiasis in a newborn infant with posterior urethral valve. İstanbul Üniversitesi İstanbul Tıp Fakültesi Mecmuası, 67(3), 162 - 166.
Chicago ÖKTEM Faruk,BİLGE Ilmay,Rozanes İzzet,Emre Sevinç,ŞİRİN Aydan,ZİYLAN Orhan The management of renal candidiasis in a newborn infant with posterior urethral valve. İstanbul Üniversitesi İstanbul Tıp Fakültesi Mecmuası 67, no.3 (2004): 162 - 166.
MLA ÖKTEM Faruk,BİLGE Ilmay,Rozanes İzzet,Emre Sevinç,ŞİRİN Aydan,ZİYLAN Orhan The management of renal candidiasis in a newborn infant with posterior urethral valve. İstanbul Üniversitesi İstanbul Tıp Fakültesi Mecmuası, vol.67, no.3, 2004, ss.162 - 166.
AMA ÖKTEM F,BİLGE I,Rozanes İ,Emre S,ŞİRİN A,ZİYLAN O The management of renal candidiasis in a newborn infant with posterior urethral valve. İstanbul Üniversitesi İstanbul Tıp Fakültesi Mecmuası. 2004; 67(3): 162 - 166.
Vancouver ÖKTEM F,BİLGE I,Rozanes İ,Emre S,ŞİRİN A,ZİYLAN O The management of renal candidiasis in a newborn infant with posterior urethral valve. İstanbul Üniversitesi İstanbul Tıp Fakültesi Mecmuası. 2004; 67(3): 162 - 166.
IEEE ÖKTEM F,BİLGE I,Rozanes İ,Emre S,ŞİRİN A,ZİYLAN O "The management of renal candidiasis in a newborn infant with posterior urethral valve." İstanbul Üniversitesi İstanbul Tıp Fakültesi Mecmuası, 67, ss.162 - 166, 2004.
ISNAD ÖKTEM, Faruk vd. "The management of renal candidiasis in a newborn infant with posterior urethral valve". İstanbul Üniversitesi İstanbul Tıp Fakültesi Mecmuası 67/3 (2004), 162-166.