Lale SEVER, Mahmut ÇİVİLİBAL, Salim ÇALIŞKAN, İbrahim ADALETLİ, Nur CANPOLAT, Nil ARISOY, Safa BARIŞ

Erken doğmuş yenidoğanda böbrek mantar topu

Kandidiyazis, yenidoğan yoğun bakım birimlerinde ortaya çıkan ölümcül enfeksiyonlardan birisidir. Burada, böbrek mantar topu saptanan zamanından önce doğmuş bir yenidoğan sunulmuştur. Hasta 45 gün yenidoğan yoğun bakım biriminde, 15 gün de beyin cerrahisi kliniğinde tedavi edildikten sonra, üriner sistem ultrasonografisinde sol böbrek pelvisinde hiperekojen bir kitle saptandı. İdrar kültüründe Candida albicans üredi ve flukonazol ile başarılı bir şekilde tedavi edildi. Bu olgu bildirimi ile, sepsis bulguları olmaksızın da tek başına böbrek kandidiyazisin görülebileceği; hastalığın erken tanısında ve izleminde ultrasonografinin en değerli yöntem olduğu vurgulanmıştır.

Renal fungus ball in a preterm infant

Candidiasis is an increasingly common problem which can cause severe morbidity in neonatal intensive care units. A premature neonate with renal fungus ball is presented. The patient was hospitalized for 45 days in the neonatal intensive care unit and 15 days in the department of neurosurgery. Later, a hyperechogenic focus located within the left renal pelvis was revealed on ultrasonograhy and Candida albicans was identified in the urine culture. He was (discharged ofter success fully) treated with fluconasole. In this case report, it is emphasized that renal fungus ball can also develop without candidemia in preterm infants and ultrasonography is a significantly important method for early diagnosis and follow-up.

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