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KMID : 1040420190230020121
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Childhood Kidney Diseases
2019 Volume.23 No. 2 p.121 ~ p.123
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A Case of Infantile Fungal Urinary Tract Infection
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Cho Won-Hee
Jo Young-Min
Oh Yun-Kyo
Rim Ji-Woo
Lee Won-Uk
Choi Kyong-Eun
Ko Jeong-Hee
Jeon Yeon-Jin
Choi Yu-Mi
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Abstract
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Urinary tract infection is common in the pediatric population. The most common causative agents are bacteria, among which Escherichia coli is the most frequent uropathogen. Although fungal urinary tract infection is rare in the healthy pediatric population, it is relatively common among hospitalized patients. Fungus may be isolated from the urine of immunocompromised patients or that of patients with indwelling catheters. The most common cause of funguria is Candida albicans. Although more than 50% of Candida isolates belong to non-albicans Candida , the prevalence of non-albicans candiduria is increasing. Herein, we report a case of community-acquired candiduria in a 4-month-old immunocompetent male infant who had bilateral vesicoureteral reflux and was administered antibiotic prophylaxis. He was diagnosed with urinary tract infection caused by Candida lusitaniae and was managed with fluconazole.
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KEYWORD
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Candida, Urinary tract infections, Vesico-ureteral reflux, Antibiotic prophylaxis
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