Candiduria in Pediatric Patients: Two Case Reports and a Review of Management Strategies.
Introduction: Urinary infections, while common in intensive care and surgical units, present a unique challenge when fungal pathogens are involved. These fungal urinary infections, known as fungiuria, require a more intricate and prolonged treatment plan involving antifungal medications. This compl...
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Albanian Society for Trauma and Emergency Surgery
2025-01-01
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| Series: | Albanian Journal of Trauma and Emergency Surgery |
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| Online Access: | http://journal.astes.org.al/AJTES/index.php/AJTES/article/view/447 |
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| author | Aferdita Ademi Ferizat Dika Haxhirexha Agron Dogjani Kastriot Haxhirexha |
| author_facet | Aferdita Ademi Ferizat Dika Haxhirexha Agron Dogjani Kastriot Haxhirexha |
| author_sort | Aferdita Ademi |
| collection | DOAJ |
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Introduction: Urinary infections, while common in intensive care and surgical units, present a unique challenge when fungal pathogens are involved. These fungal urinary infections, known as fungiuria, require a more intricate and prolonged treatment plan involving antifungal medications. This complexity underscores the need for specialized knowledge and skills in managing such cases.
This study aims to present two cases of operated pediatric patients who developed urinary fungal infections following Catheterization and simultaneous treatment with two antibiotics.
Results: Two pediatric patients, aged 12 and 16, underwent surgical procedures in our clinic. The first patient was treated for gangrenous appendicitis complicated by generalized peritonitis. The second patient was treated for a perforation of the small intestine caused by gangrene in a segment of the bowel, resulting from twisting around intestinal adhesions, also complicated by generalized peritonitis.
Both patients, aged 12 and 16, developed urinary symptoms four days after surgery. Microbiological analysis confirmed the presence of fungal infections caused by Candida albicans. However, with the administration of antifungal medications, we were able to successfully eradicate Candida albicans from their urinary tracts, as confirmed by follow-up microbiological cultures after several weeks of therapy. This successful outcome should instill a sense of accomplishment in the audience.
Conclusion: Candidiasis, a significant complication in patients undergoing prolonged Catheterization and simultaneous antibiotic therapy, requires vigilant monitoring. The challenging treatment often necessitates long-term administration of antifungal medications for successful eradication. This underscores the importance of vigilance in monitoring fungal infections in catheterized patients and adopting preventive strategies to minimize their occurrence.
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| format | Article |
| id | doaj-art-3ee2ae8403464a2e873992e30a8cb814 |
| institution | Kabale University |
| issn | 2521-8778 2616-4922 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Albanian Society for Trauma and Emergency Surgery |
| record_format | Article |
| series | Albanian Journal of Trauma and Emergency Surgery |
| spelling | doaj-art-3ee2ae8403464a2e873992e30a8cb8142025-01-19T14:24:36ZengAlbanian Society for Trauma and Emergency SurgeryAlbanian Journal of Trauma and Emergency Surgery2521-87782616-49222025-01-019110.32391/ajtes.v9i1.447Candiduria in Pediatric Patients: Two Case Reports and a Review of Management Strategies.Aferdita Ademi0Ferizat Dika Haxhirexha1Agron Dogjani2Kastriot Haxhirexha3Medical Faculty, The State University of Tetovo, RN of MACEDONIAMedical Faculty, The State University of Tetovo, RN of MACEDONIAFaculty of Medicine, University of Medicine, Tirana, ALBANIAMedical Faculty, The State University of Tetovo, RN of MACEDONIA Introduction: Urinary infections, while common in intensive care and surgical units, present a unique challenge when fungal pathogens are involved. These fungal urinary infections, known as fungiuria, require a more intricate and prolonged treatment plan involving antifungal medications. This complexity underscores the need for specialized knowledge and skills in managing such cases. This study aims to present two cases of operated pediatric patients who developed urinary fungal infections following Catheterization and simultaneous treatment with two antibiotics. Results: Two pediatric patients, aged 12 and 16, underwent surgical procedures in our clinic. The first patient was treated for gangrenous appendicitis complicated by generalized peritonitis. The second patient was treated for a perforation of the small intestine caused by gangrene in a segment of the bowel, resulting from twisting around intestinal adhesions, also complicated by generalized peritonitis. Both patients, aged 12 and 16, developed urinary symptoms four days after surgery. Microbiological analysis confirmed the presence of fungal infections caused by Candida albicans. However, with the administration of antifungal medications, we were able to successfully eradicate Candida albicans from their urinary tracts, as confirmed by follow-up microbiological cultures after several weeks of therapy. This successful outcome should instill a sense of accomplishment in the audience. Conclusion: Candidiasis, a significant complication in patients undergoing prolonged Catheterization and simultaneous antibiotic therapy, requires vigilant monitoring. The challenging treatment often necessitates long-term administration of antifungal medications for successful eradication. This underscores the importance of vigilance in monitoring fungal infections in catheterized patients and adopting preventive strategies to minimize their occurrence. http://journal.astes.org.al/AJTES/index.php/AJTES/article/view/447Candidaantibioticsurinary cathetercandiduria |
| spellingShingle | Aferdita Ademi Ferizat Dika Haxhirexha Agron Dogjani Kastriot Haxhirexha Candiduria in Pediatric Patients: Two Case Reports and a Review of Management Strategies. Albanian Journal of Trauma and Emergency Surgery Candida antibiotics urinary catheter candiduria |
| title | Candiduria in Pediatric Patients: Two Case Reports and a Review of Management Strategies. |
| title_full | Candiduria in Pediatric Patients: Two Case Reports and a Review of Management Strategies. |
| title_fullStr | Candiduria in Pediatric Patients: Two Case Reports and a Review of Management Strategies. |
| title_full_unstemmed | Candiduria in Pediatric Patients: Two Case Reports and a Review of Management Strategies. |
| title_short | Candiduria in Pediatric Patients: Two Case Reports and a Review of Management Strategies. |
| title_sort | candiduria in pediatric patients two case reports and a review of management strategies |
| topic | Candida antibiotics urinary catheter candiduria |
| url | http://journal.astes.org.al/AJTES/index.php/AJTES/article/view/447 |
| work_keys_str_mv | AT aferditaademi candiduriainpediatricpatientstwocasereportsandareviewofmanagementstrategies AT ferizatdikahaxhirexha candiduriainpediatricpatientstwocasereportsandareviewofmanagementstrategies AT agrondogjani candiduriainpediatricpatientstwocasereportsandareviewofmanagementstrategies AT kastriothaxhirexha candiduriainpediatricpatientstwocasereportsandareviewofmanagementstrategies |