Tricuspid valve repair in an infant with multiple obstructive Candida mycetomas

Area of Science:

• Neonatology
• Pediatric Cardiology
• Infectious Diseases

Background:

• Neonatal fungal valve endocarditis is a rare but severe condition.
• Management strategies remain debated due to risks in low-birth-weight infants.

Observation:

• A premature infant presented with multiple Candida tricuspid valve mycetomas.
• Fungal endocarditis in neonates poses significant therapeutic challenges.

Findings:

• Successful eradication of Candida infection was achieved through combined therapy.
• Liposomal amphotericin B and complex tricuspid valve repair were utilized.
• This combined approach offers a viable treatment option for neonatal fungal endocarditis.

Implications:

• This case highlights a successful treatment protocol for a rare neonatal condition.
• The findings suggest that combined antifungal and surgical strategies can be effective.
• Further research into optimizing treatment for neonatal fungal valve endocarditis is warranted.