梗阻性念珠菌粪石导致的新生儿肾衰竭。

Neonatal renal failure due to obstructive candidal bezoars.

作者信息

Hari P, Srivastava A, Gupta A K, Srivastava R N

机构信息

Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Pediatr Nephrol. 1997 Aug;11(4):497-8. doi: 10.1007/s004670050326.

DOI:10.1007/s004670050326

PMID:9260255

Abstract

Acute renal failure (ARF) developed in a 7-week-old infant due to bilateral candidal bezoars (fungal balls) causing obstruction at the pelviureteric junction. The baby was born at term with an appropriate birthweight, and had been treated with broad-spectrum antibiotics for respiratory distress and septicemia during the 1st week of life. Recovery from ARF followed renal decompression with bilateral nephrostomy tube placement and parenteral administration of amphotericin B and 5-flucytosine.

摘要

一名7周大的婴儿因双侧念珠菌性粪石（真菌球）导致肾盂输尿管连接处梗阻而发生急性肾衰竭（ARF）。该婴儿足月出生，出生体重正常，在出生后第1周因呼吸窘迫和败血症接受了广谱抗生素治疗。在双侧置入肾造瘘管进行肾脏减压，并胃肠外给予两性霉素B和5-氟胞嘧啶后，急性肾衰竭得以恢复。