Childhood Kidney Diseases

Korean Society of Pediatric Nephrology (대한소아신장학회)
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A Case of Infantile Fungal Urinary Tract Infection

  • Cho, Wonhee (Department of Pediatrics, Gwangmyeong Sungae Hospital) ;
  • Jo, Young Min (Department of Pediatrics, Gwangmyeong Sungae Hospital) ;
  • Oh, Yun Kyo (Department of Pediatrics, Gwangmyeong Sungae Hospital) ;
  • Rim, Ji Woo (Department of Pediatrics, Gwangmyeong Sungae Hospital) ;
  • Lee, Won Uk (Department of Pediatrics, Gwangmyeong Sungae Hospital) ;
  • Choi, Kyongeun (Department of Pediatrics, Gwangmyeong Sungae Hospital) ;
  • Ko, Jeong Hee (Department of Pediatrics, Gwangmyeong Sungae Hospital) ;
  • Jeon, Yeon Jin (Department of Pediatrics, Gwangmyeong Sungae Hospital) ;
  • Choi, Yumi (Department of Pediatrics, Gwangmyeong Sungae Hospital)
  • Received : 2019.08.08
  • Accepted : 2019.10.15
  • Published : 2019.10.31
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Abstract

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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References

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