Obstructive Renal Failure Caused by Bilateral Renal Candidiasis and Hypoplastic Renal Pelvises in a Preterm Infant: Case Presentation and Review of the Literature
Introduction Candida is one of the common causes of infections in late sepsis of very low birth weight neonates. The outcome ranges from a mild focal disease to a fatal septicemia and multi-organ dysfunction. Case Presentation Acute renal failure was f...
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doaj-bd71ffabbdae4c99a88fbf8efa2319142020-11-25T01:05:47ZengMazandaran University of Medical SciencesJournal of Pediatrics Review2322-44012322-43982016-12-015210.17795/jpr-9286Obstructive Renal Failure Caused by Bilateral Renal Candidiasis and Hypoplastic Renal Pelvises in a Preterm Infant: Case Presentation and Review of the LiteratureFarhad Abolhassan Choobdar0Elham Zarei1Mohammad Reza Navaeifar2Ali Manafi Anari3Behzad Haghighi Aski4Department of Neonatology, Ali Asghar Children Hospital, Iran University of Medical Sciences, Tehran, IranDepartment of Radiology, Ali Asghar Children Hospital, Iran University of Medical Sciences, Tehran, IranInfectious Diseases Research Center with Focus on Nosocomial Infection, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, IranDepartment of Pediatric, Division of Pediatric Intensive Care, Faculty of Medicine, Iran University of Medical Sciences, Tehran, IranDepartment of Pediatric, Division of Pediatric Intensive Care, Faculty of Medicine, Iran University of Medical Sciences, Tehran, IranIntroduction Candida is one of the common causes of infections in late sepsis of very low birth weight neonates. The outcome ranges from a mild focal disease to a fatal septicemia and multi-organ dysfunction. Case Presentation Acute renal failure was found in a seven-week-old preterm infant due to bilateral renal fungal balls and hypoplastic renal pelvises. He had previously been treated with courses of broad-spectrum antibiotics for respiratory distress and sepsis during the first weeks of life. The infant did not respond to standard antifungal therapy and needed surgical removal of fungal balls from his kidneys, open nephrostomy tube placement and pyeloplasty. Conclusions Obstructive uropathy by fungal balls is rare and acute renal failure as a result of bilateral obstructive uropathy due to fungal balls requires early detection and prompt treatment to salvage the kidney function.http://dx.doi.org/10.17795/jpr-9286 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Farhad Abolhassan Choobdar Elham Zarei Mohammad Reza Navaeifar Ali Manafi Anari Behzad Haghighi Aski |
spellingShingle |
Farhad Abolhassan Choobdar Elham Zarei Mohammad Reza Navaeifar Ali Manafi Anari Behzad Haghighi Aski Obstructive Renal Failure Caused by Bilateral Renal Candidiasis and Hypoplastic Renal Pelvises in a Preterm Infant: Case Presentation and Review of the Literature Journal of Pediatrics Review |
author_facet |
Farhad Abolhassan Choobdar Elham Zarei Mohammad Reza Navaeifar Ali Manafi Anari Behzad Haghighi Aski |
author_sort |
Farhad Abolhassan Choobdar |
title |
Obstructive Renal Failure Caused by Bilateral Renal Candidiasis and Hypoplastic Renal Pelvises in a Preterm Infant: Case Presentation and Review of the Literature |
title_short |
Obstructive Renal Failure Caused by Bilateral Renal Candidiasis and Hypoplastic Renal Pelvises in a Preterm Infant: Case Presentation and Review of the Literature |
title_full |
Obstructive Renal Failure Caused by Bilateral Renal Candidiasis and Hypoplastic Renal Pelvises in a Preterm Infant: Case Presentation and Review of the Literature |
title_fullStr |
Obstructive Renal Failure Caused by Bilateral Renal Candidiasis and Hypoplastic Renal Pelvises in a Preterm Infant: Case Presentation and Review of the Literature |
title_full_unstemmed |
Obstructive Renal Failure Caused by Bilateral Renal Candidiasis and Hypoplastic Renal Pelvises in a Preterm Infant: Case Presentation and Review of the Literature |
title_sort |
obstructive renal failure caused by bilateral renal candidiasis and hypoplastic renal pelvises in a preterm infant: case presentation and review of the literature |
publisher |
Mazandaran University of Medical Sciences |
series |
Journal of Pediatrics Review |
issn |
2322-4401 2322-4398 |
publishDate |
2016-12-01 |
description |
Introduction
Candida is one of the common causes of infections in late sepsis of very low birth weight neonates. The outcome ranges from a mild focal disease to a fatal septicemia and multi-organ dysfunction.
Case Presentation
Acute renal failure was found in a seven-week-old preterm infant due to bilateral renal fungal balls and hypoplastic renal pelvises. He had previously been treated with courses of broad-spectrum antibiotics for respiratory distress and sepsis during the first weeks of life. The infant did not respond to standard antifungal therapy and needed surgical removal of fungal balls from his kidneys, open nephrostomy tube placement and pyeloplasty.
Conclusions
Obstructive uropathy by fungal balls is rare and acute renal failure as a result of bilateral obstructive uropathy due to fungal balls requires early detection and prompt treatment to salvage the kidney function. |
url |
http://dx.doi.org/10.17795/jpr-9286 |
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