Fungal urinary tract infection in an infant with posterior urethral valves

Arash Ahmadzadeh; Ehsan Valavi; Ahmad Shamsizadeh; Ali Zarei Mahmoudabadi; Morteza Hydari; Ali Ahmadzadeh, MD

Jundishapur Journal of Microbiology

Ahvaz Jundishapur University of Medical Sciences

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Fungal urinary tract infection in an infant with posterior urethral valves

Author(s):

Arash Ahmadzadeh^1,*,

Ehsan Valavi²,

Ahmad Shamsizadeh²,

Ali Zarei Mahmoudabadi²,

Morteza Hydari²,

Ali Ahmadzadeh, MD³

1Resident of Department of Radiology, Shariati Hospital, Tehran University of Medical Sciences, ahmadzadeh.ar@gmail.com, Iran

2Pediatric Nephrology Division, Abuzar Children`s Medical Center, Ahvaz Jundishapur University of Medical Sciences, Iran

3Ahvaz

Jundishapur Journal of Microbiology:Vol. 4, issue Suppl; 71-76

Article type:Case Report

How to Cite:Arash AhmadzadehEhsan ValaviAhmad ShamsizadehAli Zarei MahmoudabadiMorteza HydariAli Ahmadzadeh, MDet al.Fungal urinary tract infection in an infant with posterior urethral valves.Jundishapur J Microbiol.4(Suppl):71-76.

Abstract

Children with urinary tract abnormalities are susceptible to bacterial urinary infection (UTI); fungal infection, although rare, is reported to be increasing. Here, we describe a seven month-old male infant with posterior urethral valves who had developed both bacterial and fungal (Candidal) urinary tract infections. Direct and culture examinations of urine sample confirmed urinary tract candidiasis. Urine culture yielded more than 3×10⁴ Candida albicans. Fluconazole started in the dose of 4mg/kg/day, single dose daily (25mg or 1/2 tablet) for two weeks. After two weeks antifungal therapy, urine sample was negative for C. albicans in both direct and culture examination. We concluded that fungal infection should be considered in the children with obstructing urinary tract abnormalities because its diagnosis may be missed.

Keywords

Candida albicans

Posterior urethral valves

Urinary tract infection

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