Percutaneous Nephrostomy Combined with Antifungal Agent Therapy for Both Hydronephrosis and Obstructive Uropathy in VLBW Infant.
- Author:
Yoon Jin CHOI
1
;
Ji Seung HEO
;
Eun Jung SIM
;
Do Jun CHO
;
Dug Ha KIM
;
Ki Sik MIN
;
Ki Yang YOO
;
Kwan Seob LEE
Author Information
1. Department of Pediatrics, College of Medicine, Hallym University, Seoul, Korea. ggum0106@hanmail.net
- Publication Type:Case Report
- Keywords:
Renal candidiasis;
Percutaneous nephrostomy;
Prematurity
- MeSH:
Abscess;
Amphotericin B;
Candida albicans;
Catheters;
Fungemia;
Humans;
Hydronephrosis*;
Incidence;
Infant*;
Infant, Newborn;
Infant, Premature;
Kidney Pelvis;
Mortality;
Nephrostomy, Percutaneous*;
Pyelonephritis;
Renal Insufficiency
- From:Journal of the Korean Society of Neonatology
2007;14(1):87-92
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
With increasing survival of smaller, more immunocompromised preterm infants, the incidence of invasive fungal infection is increasing among NICU patients, with highly associated morbidity and mortality. The most common site of end organ dissemination in premature infants with fungemia is the renal system. Renal fungal infection is followed by acute pyelonephritis and renal cortical abscess, and leads to obstructive nephropathy and renal failure. We recently experienced a case of VLBW infant who was dignosed as both hydronephrosis and obstructive uropathy due to Candida albicans that was treated intravenous amphotericin B combined with direct daily irrigation into the renal pelvis via percutaneous nephrostomy catheter.
