A Case of Infantile Fungal Urinary Tract Infection
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Urinary tract infection is common in the pediatric population. The most common causative agents are bacteria, among which Escherichia coli is the most frequent uropathogen. Although fungal urinary tract infection is rare in the healthy pediatric population, it is relatively common among hospitalized patients. Fungus may be isolated from the urine of immunocompromised patients or that of patients with indwelling catheters. The most common cause of funguria is Candida albicans . Although more than 50% of Candida isolates belong to non-albicans Candida , the prevalence of non-albicans candiduria is increasing. Herein, we report a case of community-acquired candiduria in a 4-month-old immunocompetent male infant who had bilateral vesicoureteral reflux and was administered antibiotic prophylaxis. He was diagnosed with urinary tract infection caused by Candida lusitaniae and was managed with fluconazole.
Abstract
Urinary tract infection is common in the pediatric population. The most common causative agents are bacteria, among which Escherichia coli is the most frequent uropathogen. Although fungal urinary tract infection is rare in the healthy pediatric population, it is relatively common among hospitalized patients. Fungus may be isolated from the urine of immunocompromised patients or that of patients with indwelling catheters. The most common cause of funguria is Candida albicans . Although more than 50% of Candida isolates belong to non-albicans Candida , the prevalence of non-albicans candiduria is increasing. Herein, we report a case of community-acquired candiduria in a 4-month-old immunocompetent male infant who had bilateral vesicoureteral reflux and was administered antibiotic prophylaxis. He was diagnosed with urinary tract infection caused by Candida lusitaniae and was managed with fluconazole.
참고문헌 (15)
- Chang SL, "Pediatric urinary tract infections", Pediatr Clin North Am, 53, pp.379~400 (2006)
- Guze LB, "Fungus infections of the urinary tract", Yale J Biol Med, 30, pp.292~305 (1958)
- Shaikh N, "Prevalence of urinary tract infection in childhood : a meta-analysis", Pediatr Infect Dis J, 27, pp.302~308 (2008)
- Behzadi P, "A survey on urinary tract infections associated with the three most common uropathogenic bacteria", Maedica(Buchar), 5, pp.111~115 (2010)
- Alanazi MQ, "An evaluation of E. coli in urinary tract infection in emergency department at KAMC in Riyadh, Saudi Arabia: retrospective study", Ann Clin Microbiol Antimicrob, 17, pp.3~ (2018)
- Sobel JD, "Candida urinary tract infections--epidemiology", Clin Infect Dis, 52(Suppl 6), pp.S433~436 (2011)
- Thomas L, "Treatment of fungal urinary tract infection", Urol Clin North Am, 42, pp.473~483 (2015)
- Kauffman CA, "Prospective multicenter surveillance study of funguria in hospitalized patients", Clin Infect Dis, 30, pp.14~18 (2000)
- Fisher JF, "Candida urinary tract infections--treatment", Clin Infect Dis, 52(Suppl 6), pp.S457~466 (2011)
- Gholamipour P, "Candiduria in children : a first report from an Iranian referral pediatric hospital", J Prev Med Hyg, 55, pp.54~57 (2014)
- Phillips JR, "Prevalence of Candida species in hospital-acquired urinary tract infections in a neonatal intensive care unit", Pediatr Infect Dis J, 16, pp.190~194 (1997)
- Wynn JL, "Outcomes following candiduria in extremely low birth weight infants", Clin Infect Dis, 54, pp.331~339 (2012)
- Kliegman RM, "Nelson textbook of pediatrics Vol 1" (2016), Elsevier
- Buck ML, "A monthly newsletter for health care professionals from the children's medical center at the University of Virginia", Pediatric Pharmacotherapy, 3, pp.1~4 (1997)
- Autmizguine J, "Antifungal susceptibility and clinical outcome in neonatal candidiasis", Pediatr Infect Dis J, 37, pp.923~929 (2018)