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[Candida albicans endocarditis after pulmonary artery banding]

M Talvard1, S Paranon, Y Dulac

  • 1Service de cardiologie pédiatrique, hôpital des Enfants, 330, avenue de Grande-Bretagne, BP 3119, 31000 Toulouse cedex, France.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|June 16, 2009
PubMed

Insights

This case report details a rare instance of Candida albicans endocarditis in an infant following pulmonary artery banding. Prompt surgical intervention and antifungal treatment led to a satisfactory outcome.

Area of Science:

  • Pediatric Cardiology
  • Infectious Diseases

Background:

  • Endocarditis is rare in infants, with Candida albicans infections being exceptionally uncommon.
  • Pulmonary artery banding is a palliative procedure for congenital heart defects, sometimes used in unstable infants.

Observation:

  • A 7-month-old infant, post-pulmonary artery banding for a ventricular septal defect, developed systemic Candida infection.
  • Cardiac failure manifested later without typical inflammatory signs, revealing complications of the banding and pseudoaneurysm.

Findings:

  • Candidal endocarditis was diagnosed, complicated by a pulmonary artery perforation due to an infected pseudoaneurysm and banding migration.
  • Histopathology confirmed multisensitive Candida albicans in vegetations.

Implications:

  • This case highlights the potential risks of Candida endocarditis associated with pulmonary artery banding in infants.
  • Early detection and combined surgical and antifungal management are crucial for favorable outcomes in such rare pediatric cases.

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