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KMID : 0438520070140010087
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Journal of the Korean Society of Neonatology
2007 Volume.14 No. 1 p.87 ~ p.92
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Percutaneous Nephrostomy Combined with Antifungal Agent Therapy for Both Hydronephrosis and Obstructive Uropathy in VLBW Infant
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Choi Yoon-Jin
Shim Eun-Jung
Cho Do-Jun
Kim Dug-Ha
Min Ki-Sik
Yoo Ki-Yang
Heo Ji-Seung
Lee Kwan-Seob
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Abstract
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With increasing survival of smaller, more immunocompromised preterm infants, the incidence of invasive fungal infection is increasing among NICU patients, with highly associated morbidity and mortality. The most common site of end organ dissemination in premature infants with fungemia is the renal system. Renal fungal infection is followed by acute pyelonephritis and renal cortical abscess, and leads to obstructive nephropathy and renal failure. We recently experienced a case of VLBW infant who was dignosed as both hydronephrosis and obstructive uropathy due to Candida albicans that was treated intravenous amphotericin B combined with direct daily irrigation into the renal pelvis via percutaneous nephrostomy catheter. (J Korean Soc Neonatol 2007;14:87-92)
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KEYWORD
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Renal candidiasis, Percutaneous neprostomy, Prematurity
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