Child Kidney Dis.  2019 Oct;23(2):121-123. 10.3339/jkspn.2019.23.2.121.

A Case of Infantile Fungal Urinary Tract Infection

• Cho W
• Jo YM
• Oh YK
• Rim JW
• Lee WU
• Choi K
• Ko JH
• Jeon YJ
• Choi Y

• KMID: 2464938
• DOI: http://doi.org/10.3339/jkspn.2019.23.2.121

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.

Keyword

Candida; Urinary tract infections; Vesico-ureteral reflux; Antibiotic prophylaxis

MeSH Terms

Antibiotic Prophylaxis
Bacteria
Candida
Candida albicans
Catheters, Indwelling
Escherichia coli
Fluconazole
Fungi
Humans
Immunocompromised Host
Infant
Male
Prevalence
Urinary Tract Infections*
Urinary Tract*
Vesico-Ureteral Reflux
Fluconazole