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Journal of the Korean Society of Neonatology 2007;14(1):87-92.
Published online May 1, 2007.
Percutaneous Nephrostomy Combined with Antifungal Agent Therapy for Both Hydronephrosis and Obstructive Uropathy in VLBW Infant.
Yoon Jin Choi, Ji Seung Heo, Eun Jung Sim, Do Jun Cho, Dug Ha Kim, Ki Sik Min, Ki Yang Yoo, Kwan Seob Lee
1Department of Pediatrics, College of Medicine, Hallym University, Seoul, Korea. ggum0106@hanmail.net
2Radiology, College of Medicine, Hallym University, Seoul, Korea.
미숙아에서 진균구에 의한 양측 수신증 및 요로폐쇄와 경피적 신루조성술을 이용한 치료 1례
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Abstract
With increasing survival of smaller, more immunocompromised preterm infants, the incidence of invasive fungal infection is increasing among NICU patients, with highly associated morbidity and mortality. The most common site of end organ dissemination in premature infants with fungemia is the renal system. Renal fungal infection is followed by acute pyelonephritis and renal cortical abscess, and leads to obstructive nephropathy and renal failure. We recently experienced a case of VLBW infant who was dignosed as both hydronephrosis and obstructive uropathy due to Candida albicans that was treated intravenous amphotericin B combined with direct daily irrigation into the renal pelvis via percutaneous nephrostomy catheter.
Key Words: Renal candidiasis, Percutaneous nephrostomy, Prematurity
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