Cold comfort for babies: Figure 1

Invasive fungal infections are a major cause of morbidity and mortality in premature newborns. Because it may not always be possible to remove risk factors, a high index of suspicion, prompt diagnosis, and early institution of antifungal treatment are recommended. Our patient was successfully treated with percutaneous nephrostomy and amphotericin B irrigation, coupled with systemic antifungal treatment without surgical removal. Urinary ascites were aspirated by paracentesis, and the urinoma was continuously drained through an 8 Fr pig tail catheter. Anuria resulting from fungal balls in the upper urinary system has rarely been reported. This is a very unusual case of anuria and urinary ascites in a premature infant caused by fungal balls.