Fungal Balls: The Importance of Diagnosis and Treatment in Pediatric Patients. Report of 3 Cases

Abstract

A bladder fungoma is a mobile, oval, echogenic mass in the bladder resulting from the accumulation of long and broad hyphae. The incidence of urinary tract infection of fungal etiology has increased notably. Yeasts are isolated in 7 to 8% of urine cultures. Different species of Candida cause urinary infection, with Candida albicans being the most frequent, followed by Candida tropical. The majority favoured by invasive devices, many of them requiring intensive care, as well as the use of broad spectrum antibiotics for prolonged periods, within these devices are by far the permanent urinary tract catheter. Next we present 3 cases diagnosed in the Hospital Civil de Guadalajara Fray Antonio Alcalde in pediatric patients in the pediatric infectious disease service. They are not quite frequent lesions, but due to all of the above and having better imaging techniques, they have been diagnosed more frequently. All three received treatment once the lesion was detected in imaging studies, they were treated with antifungals, all survived and are in follow-up