Cázarez-Ortiz M, Martínez-Sánchez BJ, Hernández-Negrete LE, Robledo-Galván AE

Language: Spanish
References: 11
Page: 67-70
PDF size: 281.20 Kb.

ABSTRACT

Premature newborn was admitted to the Neonatal Intensive Care for respiratory distress secondary to pneumonia, who was placed umbilical venous catheter for delivery of solutions, parenteral nutrition and antibiotics. Evolves satisfactorily until the eight day in which she presents, sudden deterioration characterized by abdominal distension, discoloration of the skin, dysthermia and acidosis. Umbilical venous catheter is removed and placed Penrose left iliac fossa by draining ascites; catheter tip and fluid are sent to culture further growth with Candida glabrata. Ultrasound and CT of the abdomen showed hypoechoic area in liver, heterogeneous and multi-lobed image. Hemorrhagic necrotic materials liver abscess was drained by placing trans-lesional catheter percutaneously. Candida infections in preterm infants represent a major problem for their high morbimortality. Imaging studies for the diagnosis and monitoring of complications are the gold standard and current surgical trends tend to be less invasive, hence the importance of the presentation of this case.

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