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ISSN 0185-6014 (Print)
Órgano oficial de difusión de la Federación Mexicana de Patología Clínica, AC y de la Asociación Latinoamericana de Patología Clínica/Medicina de Laboratorio

2001, Number 1

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Rev Mex Patol Clin Med Lab 2001; 48 (1)

Renal candidiasis in pediatric patients A two-case report

Vázquez-Tsuji O, Campos RT, Jiménez DR, Ahumada MH, Martínez BI, Almazán BG, García CG

Language: Spanish
References: 16
Page: 17-22
PDF size: 325.16 Kb.


ABSTRACT

We present two cases of renal candidiasis in children. They were diagnosed through direct examination of recent urine specimens to detect Candida pseudomycelium, urine culture for Candida colony count per milliliter and renal ultrasound. Both patients were successfully treated with systemic amfotericin B and did not require surgical management. Direct examination of urine to detect pseudomycelium of Candida and urine culture after treatment were negative for Candida. Subsequent renal ultrasound studies were negative for previous lesions. We sugest that part of the diagnostic approach in cases of Candidiasis of the renal tract should include serial centrifuged urine specimens studies in addition to Candida colony count and ultrasound.


REFERENCES

  1. Lauter J, Reichman B, Graif M, Brish M. Anuria in a premature infant due to ureteropelvic fungal bezoars. Eur J Pediatr 1986; 145: 125-127.

  2. Gerle RD. Roentgenographic features of primary renal candidiasis. AJR 1973; 119: 731-738.

  3. Bailey JE. Neonatal candidiasis: the current challenge. Clin Perinatol 1991; 18: 263-280.

  4. Eckstein CW, Kass EJ. Anuria in a newborn secondary to bilateral ureteropelvic fungus balls. J Urol 1982; 127: 109-110.

  5. Baetz-Greenwalt B, Kumar ML. Bladder fungus balls: a reversible cause of neonatal obstructive uropathy. Pediatrics 1988; 81: 826-829.

  6. Matsumoto AH, Dejter SW, Barth KH, Gibbons MD. Percutaneous nephrostomy drainage in the management of neonatal anuria secondary to renal candidiasis. J Pediatr Surg 1990; 25: 1295-1297.

  7. Kintanar C, Cramer BC, Reid WD, Andrews WL. Neonatal renal candidiasis: sonographic diagnosis. AJR 1986; 147: 801-805.

  8. Stuck KJ, Silver TM, Jaffe MH, Bowerman RA. Sonographic demonstration of renal fungus balls. Radiology 1981; 142: 473-474.

  9. Babut JM, Coeurdacier P, Bawab F, Treguier C, Fremond B. Urinary fungal bezoars in children. Report of two cases. Eur J Pediatr Surg 1995; 5: 248-252.

  10. Coria LJJ, Vázquez TO, Rosibell CM, Campos RT. Usos clínicos de la anfotericina B. Acta Pediatr Mex 1999; 20: 304-309.

  11. Hernández ChA, López GP, Corona JF, Hernández JA, Hernández HJ, Masías IA. Tratamiento de la candiduria en pacientes en estado crítico. Estudio comparativo entre fluconazol vía oral y anfotericina B en irrigación. Rev Med IMSS 1995; 33: 457-461.

  12. Kass EH. Asymptomatic infections of the urinary tract. Trans Assoc Am Phy 1956; 69: 59-64.

  13. Louria DB, Bryton RG. The behavior of Candida cell within leukocytes. Pro Soc Exp Biol Med 1964; 115: 93-98.

  14. Montes L, Wilborn WH. Ultrastructural feactures of host parasite relation ship in oral candidiasis. J Bacteriol 1968; 96: 1349-1356.

  15. Montes L, Wilbon WH. Fungus- host relation ship in candidiasis. A brief review. Arch Dermatol 1955; 121: 119-124.

  16. Hitchcock IRJ, Pallet A, Hall AM, Malone JSP. Urinary tract candidiasis in neonates and infants. Br J Urol 1995; 76 : 252-256.




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