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[Acute renal insufficiency during Candida albicans candidiasis in a 2-month old infant]
J Filipowicz1, M Kozłowski, N Irga
1I Kliniki Chorób Dzieci AMG, Gdańiska.
Abstract:
In this paper has been described the case of 2-month old infant with acute renal insufficiency caused by mechanical obstacle of fungal bezoars. Bilateral pyelostomy has been performed and fungal masses have been washed out from kidney pelvis. The applied treatment including administration of Fluconazole intravenously caused disappearance of acute renal insufficiency. In this paper authors described pathogenesis, clinical symptoms, and treatment of urinary tract fungal infection.
Insights
A fungal bezoar caused acute renal insufficiency in an infant. Prompt treatment with bilateral pyelostomy and antifungal medication resolved the condition, highlighting effective management of urinary tract fungal infections.
Area of Science:
- Pediatric Nephrology
- Mycology
- Infectious Diseases
Background:
- Urinary tract fungal infections are rare in infants.
- Fungal bezoars can cause significant urinary tract obstruction.
- Acute renal insufficiency presents a critical challenge in pediatric cases.
Observation:
- A 2-month-old infant presented with acute renal insufficiency.
- Mechanical obstruction due to fungal bezoars was identified as the cause.
- Bilateral pyelostomy was performed to relieve the obstruction.
Findings:
- Surgical removal of fungal masses from the kidney pelvis was successful.
- Intravenous Fluconazole administration led to the resolution of acute renal insufficiency.
- The patient's renal function normalized after treatment.
Implications:
- This case highlights the importance of considering fungal infections in pediatric renal failure.
- Early diagnosis and intervention, including surgical and antifungal therapy, are crucial.
- Effective management strategies can prevent long-term renal damage in infants.