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全身性念珠菌病在极低出生体重儿(VLBW)是一种严重的感染性疾病,诊断困难,常易误诊。肾脏受累时常因真菌团块在肾盂构成机械性阻塞而得以诊断。本文证明在有念珠菌感染风险的患儿应用多功能超声检查的重要性。一患婴出生体重800g,出生37天后在KingTaisal医院治疗支气管肺发育不全和动脉导管未闭。体检未见皮肤及口腔念珠菌感染。超声检查显示左肾肿大,可能系肾盂输尿管连接处阻塞造成肾盂积水之故。两肾盏扩大,含有微弱反射波团块。
Systemic candidiasis in very low birth weight children (VLBW) is a serious infectious disease, diagnosis difficult, often misdiagnosed. Kidney involvement is often diagnosed by fungal clumps in the renal pelvis mechanical obstruction. This article demonstrates the importance of using multi-function ultrasound in children at risk of Candida infection. One infants born weighing 800g were treated for bronchopulmonary hypoplasia and patent ductus arteriosus at King Taisal Hospital 37 days after birth. Physical examination no skin and oral Candida infection. Ultrasound examination showed that the left kidney enlargement may be caused by renal pelvis and ureter obstruction caused by hydronephrosis. Enlarged two calyx, with weak reflex wave clumps.