Candidal Mycetoma in the Neonatal Kidney

To determine the natural history of renal mycetoma (fungal balls) in the neonate. Retrospective chart review of all neonatal intensive care unit patients with systemic candidiasis and sonographic evidence of renal mycetoma admitted to the Duke University Medical Center between January 1, 1993, and J...

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Bibliographic Details
Published in:Pediatrics (Evanston) 1999-11, Vol.104 (5), p.1126-1129
Main Authors: Benjamin Jr., Daniel K, Fisher, Randall G, McKinney Jr., Ross E, Benjamin, Daniel K
Format: Article
Language:English
Subjects:
Babies
Biological and medical sciences
Candidiasis - complications
Candidiasis - diagnosis
Candidiasis - drug therapy
Case studies
Fungemia - diagnosis
Human mycoses
Humans
Infant, Newborn
Infectious diseases
Kidney diseases
Kidney Diseases - complications
Kidney Diseases - diagnosis
Kidney Diseases - drug therapy
Kidneys
Medical research
Medical sciences
Mycetoma - complications
Mycetoma - diagnosis
Mycetoma - drug therapy
Mycoses
Mycoses of the urinary system
Pediatrics
Prognosis
Retrospective Studies
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Summary:To determine the natural history of renal mycetoma (fungal balls) in the neonate. Retrospective chart review of all neonatal intensive care unit patients with systemic candidiasis and sonographic evidence of renal mycetoma admitted to the Duke University Medical Center between January 1, 1993, and July 1, 1998. Fourteen patients were reviewed. Three died from fungemia, and 3 died from other causes months after completing treatment. Ten patients had urine cultures obtained within 1 week of diagnosis; each had a positive routine or fungal urine culture for candida. The rate of improvement of renal mycetoma by ultrasound was variable, ranging from 10 days to 4 months and was not predictive of survival or long-term renal function. All patients who were discharged from the hospital had creatinine
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.104.5.1126