Zia-ul-Miraj M, Mirza I
Department of Paediatric Urology, The Children's Hospital and The Institute of Child Health, Lahore, Pakistan.
Pediatr Surg Int. 1997 Jul;12(5-6):414-6. doi: 10.1007/BF01076953.
Two children with fungal urinary tract infections (UTI) were treated with fluconazole. One had bilateral megaureters, an almost non-functioning right kidney, and a moderately functioning left kidney because of severe vesicoureteric reflux. He underwent a ureteric reimplantation procedure but developed a fungal UTI postoperatively. The other child had bilateral refluxing megaureters, one of which appeared to open ectopically into the urethra. He acquired a fungal infection during intensive and prolonged antibiotic therapy for a bacterial UTI and septicaemia in the neonatal period. Both fungal infections were cured successfully. We recommend fluconazole as a safe and effective antifungal agent that may be used as a drug of choice for this difficult problem.
