Intracardiac Fungal Mass in a Term Neonate. - 2016

Systemic fungal infections pose insidious challenges in neonatal intensive care settings. We present the case of a 9-day-old male term neonate admitted for polymicrobial sepsis and hepatic dysfunction who later developed candidemia superinfection. Despite broad antifungal therapy, the fungemia was complicated by progressive growth of a fungus ball in the right ventricular outflow tract that threatened cardiac function. Surgical excision of the mass was undertaken by right atriotomy and histologic examination confirmed Candida albicans.


English

1947-6108


*Candida albicans/gd [Growth & Development]
*Candidiasis/mi [Microbiology]
*Infant, Newborn, Diseases/mi [Microbiology]
*Superinfection
*Ventricular Outflow Obstruction/mi [Microbiology]
Antifungal Agents/tu [Therapeutic Use]
Antiviral Agents/tu [Therapeutic Use]
Candida albicans/ip [Isolation & Purification]
Candidiasis/di [Diagnosis]
Candidiasis/th [Therapy]
Cardiac Surgical Procedures
Echocardiography, Transesophageal
Herpes Simplex/di [Diagnosis]
Herpes Simplex/dt [Drug Therapy]
Herpes Simplex/vi [Virology]
Herpesvirus 1, Human/ip [Isolation & Purification]
Humans
Infant, Newborn
Infant, Newborn, Diseases/di [Diagnosis]
Infant, Newborn, Diseases/th [Therapy]
Infant, Newborn, Diseases/vi [Virology]
Intensive Care Units, Neonatal
Liver Failure/di [Diagnosis]
Liver Failure/dt [Drug Therapy]
Liver Failure/vi [Virology]
Male
Treatment Outcome
Ventricular Outflow Obstruction/dg [Diagnostic Imaging]
Ventricular Outflow Obstruction/th [Therapy]


Case Reports
Journal Article