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[Symptomatic renal candidiasis with multiple mycetomas: a case report]
Abstract:
Candida albicans is the most prevalent and pathogenic fungal infection of the urinary tract. Although fungal urinary tract infection occur less frequently than bacterial infections, their incidence has increased during the last decades. Parenteral nutrition, corticosteroids, immunosuppressive drugs and prolonged antibiotic therapy are often predisposing factors. We report a case of renal pelvic fungus balls in a 6-month old female who developed candidal infection after surgical treatment for bilateral vesico-ureteric reflux; the renal candidiasis was treated successfully with fluconazole.
Insights
This case study highlights a rare renal pelvic fungus ball infection in a 6-month-old infant. Successful treatment was achieved using fluconazole, demonstrating effective management of invasive candidiasis.
Area of Science:
- Medical Mycology
- Pediatric Infectious Diseases
- Urology
Background:
- Candida albicans is a common cause of urinary tract infections (UTIs), with increasing incidence.
- Fungal UTIs are less common than bacterial UTIs but are associated with predisposing factors like immunosuppression and prolonged antibiotic use.
- Risk factors include parenteral nutrition, corticosteroid use, immunosuppressive drugs, and extended antibiotic therapy.
Observation:
- A 6-month-old female infant developed a candidal infection following surgery for bilateral vesico-ureteric reflux.
- The infant presented with fungus balls in the renal pelvis, a rare manifestation of renal candidiasis.
- This case highlights a specific pediatric presentation of invasive fungal infection.
Findings:
- Renal pelvic fungus balls caused by Candida albicans were diagnosed in a pediatric patient.
- The candidal infection was successfully treated with the antifungal medication fluconazole.
- This case demonstrates the efficacy of fluconazole in treating renal candidiasis.
Implications:
- Early diagnosis and appropriate antifungal treatment are crucial for managing invasive fungal UTIs in infants.
- Fluconazole can be an effective therapeutic option for renal candidiasis in pediatric patients.
- Understanding predisposing factors and clinical presentations is vital for timely intervention in pediatric fungal infections.