Published March 31, 2022 | Version v1

Fungal Ball Masquerading as a Renal Stone in a Preterm Infant- A Case Report

  • 1. Consultant in Neonatology, KEM Hospital, Pune, India, (ORCID iD-0000-0001-6389-185)
  • 2. Senior registrar, DrNB (Neonatolgy), KEM Hospital, Pune, India, (ORCID iD-0000-0002-4836-8731)
  • 3. NNF Fellow (Neonatology), KEM Hospital, Pune, India, (ORCID iD 0000-0002-3871-7782)
  • 4. Head of the department (Pediatric surgery), KEM Hospital, Pune, India

Description

We are reporting an interesting case of 67 days old infant, referred to us for anuria since 24 hours with ultrasound
suggestive of bilateral renal stones. The baby was stabilized with immediate peritoneal dialysis and later operated for
pyeloplasty, which showed multiple fungal balls obstructing the ureteric orifice. The baby was born premature at 30
weeks of gestation, requiring NICU stay for 30 days. Baby received systemic antifungals for 6 weeks with favourable outcome. One should keep high index of suspicion for fungal infection in any premature neonate who requires prolonged
NICU stay or might have received multiple broad-spectrum antibiotics.

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