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新生儿梗阻性肾念珠菌病的治疗

The management of obstructive renal candidiasis in the neonate.

作者信息

Robinson P J, Pocock R D, Frank J D

出版信息

Br J Urol. 1987 May;59(5):380-2. doi: 10.1111/j.1464-410x.1987.tb04829.x.

DOI:10.1111/j.1464-410x.1987.tb04829.x
PMID:3594094
Abstract

Neonatal renal candidiasis is a rare complication of prematurity associated with a mortality rate of 50%. We describe a patient who was treated by nephrostomy drainage together with the removal of the fungal debris and both systemic and local antifungal therapy. The infection was eradicated and the baby survived with minimal renal morbidity. A rational plan of treatment is presented which may help to reduce the mortality rate in future.

摘要

新生儿肾念珠菌病是一种与早产相关的罕见并发症,死亡率为50%。我们描述了一名通过肾造瘘引流、清除真菌碎片以及全身和局部抗真菌治疗的患者。感染得以根除,婴儿存活下来,肾脏发病率极低。本文提出了一个合理的治疗方案,可能有助于降低未来的死亡率。

相似文献

1
The management of obstructive renal candidiasis in the neonate.新生儿梗阻性肾念珠菌病的治疗
Br J Urol. 1987 May;59(5):380-2. doi: 10.1111/j.1464-410x.1987.tb04829.x.
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[Management of obstructive renal candidiasis. Report of a clinical case].
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Percutaneous nephrostomy drainage in the management of neonatal anuria secondary to renal candidiasis.
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Use of new nephrostomy catheter for treatment of renal neonatal candidiasis.
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Candidal renal and urinary tract infection in neonates.新生儿念珠菌性肾脏和泌尿道感染
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[Anuria caused by renal pelvis candidiasis in an infant].
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Acute renal failure caused by fungal bezoar: a late complication of Candida sepsis associated with central catheterization.真菌粪石导致的急性肾衰竭:念珠菌败血症的一种晚期并发症,与中心静脉置管相关。
J Pediatr Surg. 1995 Nov;30(11):1600-2. doi: 10.1016/0022-3468(95)90166-3.
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Retrograde Ureteral Catheterization: A Possible New Treatment for Renal Fungal Balls in Very Low Birth Weight Infants.逆行输尿管插管术:极低出生体重儿肾真菌球的一种可能的新治疗方法。
Urology. 2018 Oct;120:234-237. doi: 10.1016/j.urology.2018.05.011. Epub 2018 May 17.
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[Management of fungal pyelonephritis with percutaneous pyelostomy in infants].[婴儿真菌性肾盂肾炎经皮肾造瘘术的管理]
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引用本文的文献

1
Clinical practice: Obstructive renal candidiasis in infancy.临床实践:婴儿期梗阻性肾念珠菌病。
Eur J Pediatr. 2011 Oct;170(10):1227-35. doi: 10.1007/s00431-011-1514-6. Epub 2011 Jun 22.
2
Renal fungal balls and pelvi-ureteric junction obstruction in a very low birth weight infant: treatment with streptokinase.
Pediatr Surg Int. 2004 Oct;20(10):804-5. doi: 10.1007/s00383-004-1301-9.
3
A new ancient irrigation therapy for childhood renal candidiasis.
Int Urol Nephrol. 1998;30(2):127-32. doi: 10.1007/BF02550565.
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Fluconazole for treatment of fungal infections of the urinary tract in children.
Pediatr Surg Int. 1997 Jul;12(5-6):414-6. doi: 10.1007/BF01076953.
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Clinical quiz. Obstructive fungal pyelonephritis.
Pediatr Nephrol. 1992 Jan;6(1):119-20. doi: 10.1007/BF00856856.