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Th17 Inflammation Model of Oropharyngeal Candidiasis in Immunodeficient Mice
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Published on: February 18, 2015

Cardiac mucormycosis with T-cell immunodeficiency.

S Shah1, P V Suresh, S Maheshwari

  • 1Department of Pediatric Cardiology, Narayana Hrudayalaya, Bangalore, India. sejalshahsuresh@yahoo.com

Indian Pediatrics
|April 7, 2009
PubMed
Summary

A pediatric mucormycosis case presented with a mitral valve mass and fever. Recurrence with central nervous system (CNS) embolization revealed an underlying T-cell immunodeficiency.

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Area of Science:

  • Pediatric Cardiology
  • Infectious Diseases
  • Immunology

Background:

  • Mucormycosis is a rare but severe fungal infection, particularly in immunocompromised individuals.
  • Cardiac involvement in pediatric mucormycosis is exceptionally uncommon.
  • Early diagnosis and management are crucial for patient outcomes.

Observation:

  • A 2-year-old child presented with fever and an unusual mitral valve mass.
  • Surgical excision and histopathology confirmed the mass as mucormycosis.
  • Four months later, the child experienced central nervous system (CNS) embolization and cardiac lesion recurrence.

Findings:

  • Histopathological analysis confirmed mucormycosis as the cause of the cardiac mass.
  • Further investigations identified an associated T-cell immunodeficiency.
  • The recurrence and CNS involvement highlight the aggressive nature of the infection in this context.

Implications:

  • This case underscores the importance of considering mucormycosis in pediatric cardiac masses, especially with atypical presentations.
  • Identifying underlying immunodeficiencies, such as T-cell defects, is critical for managing recurrent fungal infections.
  • This highlights the need for comprehensive diagnostic workups in pediatric patients with severe fungal infections and recurrent disease.