<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0035-0052</journal-id>
<journal-title><![CDATA[Revista mexicana de pediatría]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. pediatr.]]></abbrev-journal-title>
<issn>0035-0052</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Pediatría A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0035-00522024000200068</article-id>
<article-id pub-id-type="doi">10.35366/119129</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Bezoar fúngico renal en un lactante: reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Renal fungal bezoar in an infant: a case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Manjarres-Figueredo]]></surname>
<given-names><![CDATA[Paola Andrea]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Meza-Bertel]]></surname>
<given-names><![CDATA[Camila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Paba-Zarante]]></surname>
<given-names><![CDATA[Jessie Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez-Rodelo]]></surname>
<given-names><![CDATA[Jairo de Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrios]]></surname>
<given-names><![CDATA[Emil Julio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Cartagena Departamento de Pediatría ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Cartagena  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Cartagena  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2024</year>
</pub-date>
<volume>91</volume>
<numero>2</numero>
<fpage>68</fpage>
<lpage>71</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0035-00522024000200068&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0035-00522024000200068&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0035-00522024000200068&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  un bezoar o bola fúngica es una complicación rara de infección urinaria debido a la colonización de una cavidad por un hongo, que genera acumulación de hifas.  Objetivo:  presentar el tratamiento médico y quirúrgico de una bola fúngica renal en un lactante atendido por fiebre prolongada. Descripción del caso clínico: masculino de 11 meses de edad, con antecedente de enfermedad de Dandy-Walker, hospitalizado por fiebre prolongada inicialmente atribuida a sinusitis maxiloetmoidal y una infección de vías urinarias por Pseudomonas aeruginosa tratadas por 15 días. Por persistencia de la fiebre se realiza ultrasonografía y tomografía que evidenciaron pionefrosis y nefrolitiasis con dilatación del tracto urinario. Por ureterorrenoscopia se encontró lesión purulenta compatible con un bezoar fúngico, confirmado por patología. Es tratado con el drenaje de la secreción y antifúngico sistémico (anfotericina B) y oral (fluconazol) con resolución del problema.  Conclusiones:  los bezoares fúngicos son una causa rara de pielonefritis y abscesos renales en niños, que puede conducir a uropatía obstructiva y lesión renal. Su identificación por imagen y el manejo médico-quirúrgico son necesarios para su resolución completa.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  bezoar or fungal ball is a rare complications of fungal urinary tract infections, that occurs because of fungus colonization in a cavity, which generates hyphae accumulation.  Objective:  to present the medical and surgical treatment of a renal fungal ball in an infant with prolonged fever.  Description of the clinical case:  11-month-old male infant with Dandy-Walker malformation with prolonged fever. Initially a maxilloethmoidal sinusitis and a Pseudomonas aeruginosa urinary tract infection were identified and 15 days treatment with broad-spectrum antibiotic was given. Due to persistent fever, an ultrasonography and urinary tract tomography were carried-out. The imagens revealed pyonephrosis and nephrolithiasis with urinary tract dilation. In the ureterorenoscopy, a purulent lesion compatible with a fungal bezoar was identified, and the diagnosis was confirmed by pathology. He was treated with drainage of the secretion and systemic and oral antifungal treatment (amphotericin, fluconazole) with resolution of the problem.  Conclusions:  fungal bezoars are a rare cause of pyelonephritis and renal abscesses in children, which can cause obstructive uropathy and kidney injury; imaging and medical and surgical treatment are necessary for complete resolution.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[infección de vías urinarias]]></kwd>
<kwd lng="es"><![CDATA[uropatía obstructiva]]></kwd>
<kwd lng="es"><![CDATA[bezoar fúngico]]></kwd>
<kwd lng="es"><![CDATA[lactante]]></kwd>
<kwd lng="en"><![CDATA[urinary tract infection]]></kwd>
<kwd lng="en"><![CDATA[obstructive uropathy]]></kwd>
<kwd lng="en"><![CDATA[fungal bezoar]]></kwd>
<kwd lng="en"><![CDATA[infant]]></kwd>
</kwd-group>
</article-meta>
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