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Journal of the Korean Society of Neonatology 2004;11(1):81-86.
Published online May 1, 2004.
Successful Long Term Antifungal Agent Therapy for Renal Candidiasis without Surgical Drainage in a Very Low Birth Weight Infant.
Ji Hyun Park, Im Jung Choi, Sung Mi Kim, Jin Hwa Jung, Gil Hyun Kim
Department of Pediatrics, Maryknoll Hospital, Busan, Korea. ksm7090@hanmail.net
외과적 배농술 없이 장기간 항진균요법으로 완치된 극소 저출생 체중아에서 발병한 신 칸디다증 1례
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Abstract
Improved survival rate of premature infants requiring intensive care lead into an increased risk for nosocomial infections such as disseminated fungal infection. Neonatal candida sepsis has become one of the most important causes of neonatal morbidity and mortality. The most common site of end organ involvement in premature infants with candidemia is the kidney. But no consensus has been reached concerning the treatment of candidemia in the newborn. We recently experienced a case of premature infant who was diagnosed as renal candidiasis with microabscess formation due to Candida Albicans and patient was treated successfully with long term liposomal amphotericin B and fluconazole therapy without surgical drainage.
Key Words: Renal candidiasis, Liposomal amphotericin B, Fluconazole, Prematurity


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