Intracardiac Fungal Mass in a Term Neonate.

MedStar author(s):
Citation: Methodist DeBakey cardiovascular journal. 12(4):225-226, 2016 Oct-DecPMID: 28289498Form of publication: Journal ArticleMedline article type(s): Case Reports | Journal ArticleSubject headings: *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]Year: 2016ISSN:
  • 1947-6108
Name of journal: Methodist DeBakey cardiovascular journalAbstract: 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.All authors: El-Sayed Ahmed MM, Hynes CF, Klugman D, Kurkluoglu M, Nath DS, Puscasiu EFiscal year: FY2017Digital Object Identifier: Date added to catalog: 2017-07-28
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Journal Article MedStar Authors Catalog Article 28289498 Available 28289498

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.

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