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Pulmonary Artery Aneurysm
Joseph Junewick, MD FACR
over 7 years ago
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Mycetoma

Case Detail

Anatomy: Genitourinary
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Infectious-Inflammatory
Created: over 7 years ago
Updated: over 7 years ago
Tags: PEDS
Modality/Study Types: US
Activities:
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History

1 month old former extremely premature infant.


Case Images


Diagnosis

Mycetoma

Clinical Notes

Blood culture reveals >250 cfu/ml.

Findings

US – Numerous bilateral nonshadowing hyperechoic medullary and intracollecting system foci.

Discussion

Candida urinary tract infections in premature infants are much less common than previously and usually are related to hematogenous dissemination by central venous catheter or ascending infection of a bladder catheter.

Neonates with urinary tract infection may present with hypertension, oliguria, or anuria. Males are more commonly affected than females. Candida accounts for ~15% of urinary tract infections.

On sonography the kidneys may be enlarged, renal cortical echogenicity may be increased and non-shadowing echogenicities may be seen in the collecting systems; with treatment mycetomas may calcify or slowly dissolve. Candida of the urinary bladder may be manifest by mural thickening and/or intraluminal debris.

Reference

Fernbach SK. Infections. Caffey’s Pediatric Diagnostic Imaging, 11th Ed. Mosby-Elsevier (2008).



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