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[Fungal endocarditis in the neonatal period. Report of a case with large right atrial mass]
1Departamento de Pediatria da Faculdade de Ciências Médicas da Universidade Federal de Mato Grosso, Cuiabá, MT.
Objective:
To draw pediatricians' attention to diagnoses of Fungal Endocarditis, which may ensue as a result of intravascular catheter use.
Methods:
The authors report a case of Fungal Endocarditis during the neonatal period, which was later confirmed through a histopathological exam. They also review literature of the theme - from 1980 on - in MEDLINE and LILACS.
Results:
A newborn was admitted to the hospital with kernicterus - but no previous cardiopathy - and required the use of an intravascular catheter. During the evolution, the baby developed a recurring fever and systolic murmur. Submitted to exam, the tip of the catheter showed the presence of Candida sp. An ecocardiographic exam showed a great right intra-atrial mass, which was surgically removed. The histopathological exam confirmed the diagnosis of fungal endocarditis.
Conclusion:
Fungal Endocarditis should be thought of as a possible diagnosis when great intra-atrial masses are found in neonates with a history of intravascular catheter use and a non-specific infectious condition.
Insights
Fungal endocarditis is a rare but serious condition in newborns, often linked to intravascular catheter use. Early recognition of symptoms like fever and heart murmurs is crucial for timely diagnosis and treatment.
Area of Science:
- Neonatal Medicine
- Infectious Diseases
- Cardiology
Context:
- Intravascular catheters are common in neonatal intensive care units.
- Fungal infections can be a complication of invasive procedures.
- Fungal endocarditis is a rare but life-threatening condition.
Purpose:
- To highlight the potential for fungal endocarditis in neonates.
- To emphasize the association between intravascular catheters and fungal endocarditis.
- To alert pediatricians to this diagnostic possibility.
Summary:
- A case of fungal endocarditis in a neonate with a history of intravascular catheter use is presented.
- Diagnosis was confirmed via histopathology after surgical removal of an intra-atrial mass.
- Literature review from 1980 onwards was conducted.
Impact:
- Increased awareness among pediatricians regarding fungal endocarditis in neonates.
- Improved diagnostic considerations for unexplained fevers and intra-atrial masses in this population.
- Potential for earlier detection and intervention, improving patient outcomes.
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