Fungal Ball Masquerading as a Renal Stone in a Preterm Infant- A Case Report
R Anusha, MD1, Parikh Tushar B, DM2*, Nakade Srushti Yuvaraj, MD3 and Shrotriya Shashank, MCH4
1Senior registrar, DrNB (Neonatolgy), KEM Hospital, Pune, India, (ORCID iD-0000-0002-4836-8731)
2Consultant in Neonatology, KEM Hospital, Pune, India, (ORCID iD-0000-0001-6389-185)
3NNF Fellow (Neonatology), KEM Hospital, Pune, India, (ORCID iD 0000-0002-3871-7782)
4Head of the department (Pediatric surgery), KEM Hospital, Pune, India
*Corresponding Author: Dr. Parikh Tushar B, MD, DNB, DM (Neonatology), Fellowship in Neonatal Perinatal Medicine (Australia), Consultant in Neonatology, KEM Hospital, Pune, India.
Received: March 03, 2022 Published: March 31, 2022
Abstract
We are reporting an interesting case of 67 days old infant, referred to us for anuria since 24 hours with ultrasound suggestive of bilateral renal stones. The baby was stabilized with immediate peritoneal dialysis and later operated for pyeloplasty, which showed multiple fungal balls obstructing the ureteric orifice. The baby was born premature at 30 weeks of gestation, requiring NICU stay for 30 days. Baby received systemic antifungals for 6 weeks with favourable outcome. One should keep high index of suspicion for fungal infection in any premature neonate who requires prolonged NICU stay or might have received multiple broad-spectrum antibiotics.
Keywords: Invasive candidiasis, Renal stones, Fungal ball, Pyeloplasty, Neonate.
Citation: Anusha R, Parikh TB, Nakade SY, Shrotriya S. “Fungal Ball Masquerading as a Renal Stone in a Preterm Infant- A Case Report”. SVOA Paediatrics 1:2 (2022) Pages 35-37.