Fungal urinary tract infection in an infant with posterior urethral valves

AUTHORS

Arash Ahmadzadeh 1 , * , Ehsan Valavi 2 , Ahmad Shamsizadeh 2 , Ali Zarei Mahmoudabadi 2 , Morteza Hydari 2 , Ali Ahmadzadeh, MD 3

1 Resident of Department of Radiology, Shariati Hospital, Tehran University of Medical Sciences, [email protected], Iran

2 Pediatric Nephrology Division, Abuzar Children`s Medical Center, Ahvaz Jundishapur University of Medical Sciences, Iran

3 Ahvaz

How to Cite: Ahmadzadeh A, Valavi E, Shamsizadeh A, Zarei Mahmoudabadi A, Hydari M, et al. Fungal urinary tract infection in an infant with posterior urethral valves, Jundishapur J Microbiol. Online ahead of Print ; 4(Suppl):71-76.

ARTICLE INFORMATION

Jundishapur Journal of Microbiology: 4 (Suppl); 71-76
Article Type: Case Report

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Abstract

Children with urinary tract abnormalities are susceptible to bacterial urinary infection (UTI); fungal infection, although rare, is reported to be increasing. Here, we describe a seven month-old male infant with posterior urethral valves who had developed both bacterial and fungal (Candidal) urinary tract infections. Direct and culture examinations of urine sample confirmed urinary tract candidiasis. Urine culture yielded more than 3×104 Candida albicans. Fluconazole started in the dose of 4mg/kg/day, single dose daily (25mg or 1/2 tablet) for two weeks. After two weeks antifungal therapy, urine sample was negative for C. albicans in both direct and culture examination. We concluded that fungal infection should be considered in the children with obstructing urinary tract abnormalities because its diagnosis may be missed.

Keywords

Candida albicans Posterior urethral valves Urinary tract infection

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