Journal of the Japanese Society of Pediatric Surgeons
Online ISSN : 2187-4247
Print ISSN : 0288-609X
ISSN-L : 0288-609X
Neonatal Systemic Candidiasis With Endogenous Candida Endophthalmitis in a Postoperative Neonate
Osamu DoiYoshiteru TakadaYoshitada YamauchiTakashi and Ogawa
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JOURNAL FREE ACCESS

1987 Volume 23 Issue 3 Pages 575-580

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Abstract
We report a case of disseminated candidiasis in a patient with congenital duodenal atresia. A full-term male infant, birth weight 2,540g, was admitted to our hospital on day 2 because of bile vomitus with severe dehydration and metabolic alkalosis, Duodeno-duodenostomy was performed on day 5 for congenital duodenal atresia. He had been given cefotaxim and amikacin postoperatively and progressed well until the 4th postoperative day when he developed a temperature of 38.4℃. Several different antibiotics were tried but fever continued. His general condition worsened and finally complications developed, including DIG. Frequent exchange blood transfusions antifungal drugs (Amphotericin B and 5-Fluorocytosin) were effective in curing the DIG and eliminating positive Candidas of the blood, CFS, urine and skin lesions. On the 73rd postoperative day an indirect fundoscopic examination showed 2 white lesions in his right fund us and one white lesion in his left fundus. His left eye lesion developed a vitreous lesion despite antifungal therapy, although the right eye lesion disappeared. On the 117th postoperative day antifungal drugs were discontinued, although one small lesion in his left eye remained. The lesion is gradually improving 3 months after discontinuation of the drugs.
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© 1987 The Japanese Society of Pediatric Surgeons

この記事はクリエイティブ・コモンズ [表示 - 非営利 - 継承 4.0 国際]ライセンスの下に提供されています。
https://creativecommons.org/licenses/by-nc-sa/4.0/deed.ja
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