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Curvularia urinary tract infection: a case report
1Children's Hospital, LSU School of Medicine, New Orleans.
Pediatric Nephrology (Berlin, Germany)
|February 1, 1994
Summary
A young child experienced urinary tract infections with unusual black specks in urine, identified as Curvularia mold. Symptoms and fungi resolved with increased hydration, avoiding antifungal medication.
Area of Science:
- Mycology
- Pediatric Urology
- Infectious Diseases
Background:
- Recurrent urinary tract infections (UTIs) are common in children.
- Fungal urinary tract infections are rare but can cause significant morbidity.
- Dermatiaceous molds, like Curvularia, are typically associated with plant matter and soil.
Observation:
- A healthy 5-year-old presented with recurrent symptomatic UTIs.
- The final UTI episode was characterized by the presence of black specks in the urine.
- Microscopic examination identified these specks as Curvularia species, a type of mold.
Findings:
- Curvularia species, a dematiaceous mold, was identified in the urine of a pediatric patient.
- The patient's symptoms and the presence of fungi resolved with conservative management.
- Long-term hydration was the primary intervention, without the need for antifungal therapy.
Implications:
- This case highlights a rare presentation of fungal UTI in a child.
- It suggests that hydration alone may be sufficient for resolving certain fungal urinary tract infections.
- Further research is warranted to understand the pathogenesis and optimal management of Curvularia UTIs in pediatric populations.