Giant Right Atrial Abscess in a Premature Infant With Fungal Endocarditis in a Developing Country
| Autor: | Ysailis Mariñez Muñoz, Juan Leon-Wyss, Janet Toribio, Nicola Pradegan, Marcos Reyes, Cesar J Herrera |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Population Fungal endocarditis Developing country 030204 cardiovascular system & hematology Right atrial 03 medical and health sciences 0302 clinical medicine medicine Humans Heart Atria Cardiac Surgical Procedures Abscess education Developing Countries education.field_of_study Tricuspid valve Endocarditis business.industry Mortality rate Infant Newborn General Medicine medicine.disease medicine.anatomical_structure 030228 respiratory system Mycoses Echocardiography Infective endocarditis Pediatrics Perinatology and Child Health Surgery Cardiology and Cardiovascular Medicine business Infant Premature |
| Zdroj: | World journal for pediatriccongenital heart surgery. 11(5) |
| ISSN: | 2150-136X |
| Popis: | Although infective endocarditis rarely appears during infancy, fungal infections remain a concern in the preterm neonatal population as the result of compromised immunity, prolonged hospitalization, and invasive procedures. The increased awareness of fungal colonization and improvements in medical therapy have not reduced the high mortality rate of mycotic infections in premature newborns, especially in developing countries, and there is no consensus on the surgical timing to treat neonatal fungal endocarditis. We present the case of a two-month-old boy with a history of three weeks of hospitalization for prematurity. After being discharged, the patient developed symptomatic candidemia resulting from a large right atrial abscess obstructing the tricuspid valve; despite antifungal therapy, urgent surgical resection was required. |
| Databáze: | OpenAIRE |
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