Neonatal renal candidiasis: sonographic diagnosis

Area of Science:

• Neonatology
• Pediatric Nephrology
• Medical Mycology

Background:

• Improved survival rates for very-low-birth-weight infants have led to an increased incidence of neonatal renal candidiasis.
• Neonatal renal candidiasis presents a growing challenge in intensive care settings.

Observation:

• This study describes the clinical and sonographic features of four premature infants diagnosed with renal candidiasis.
• Renal lesions, both parenchymal and intrapelvic, were identified in affected infants.
• Associated findings included hydronephrosis in some cases.

Findings:

• Abdominal sonography proved to be a valuable noninvasive tool for diagnosing renal candidiasis in neonates.
• Sonographic findings encompassed diverse renal lesions and potential complications like hydronephrosis.

Implications:

• Early and accurate diagnosis via abdominal sonography is crucial for timely intervention.
• Prompt initiation of antifungal therapy, guided by diagnostic imaging, can significantly improve infant survival outcomes.
• This highlights the importance of integrating advanced imaging techniques into the management protocols for high-risk neonates.