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[Candida albicans endocarditis after treatment of complete atrioventricular canal]

S El Alami1, N Handor, Y Moutaki Allah

  • 1Service de parasitologie mycologie, hôpital militaire d'instruction Mohammed V, Rabat, Morocco.

Journal De Mycologie Medicale
|July 31, 2013
PubMed

Insights

This case report highlights a rare pediatric fungal endocarditis caused by Candida albicans following atrioventricular canal surgery. Early diagnosis and optimized treatment are crucial for improving outcomes in this severe infection.

Area of Science:

  • Pediatric Cardiology
  • Infectious Diseases
  • Cardiovascular Surgery

Background:

  • Infective endocarditis is uncommon in children, particularly after atrioventricular canal repair.
  • Candida albicans is an exceptional cause of endocarditis in this pediatric population.

Observation:

  • A case of Candida albicans infective endocarditis is presented in a child with trisomy 21 post-atrioventricular canal repair.
  • Diagnosis was aided by clinical signs, cardiac auscultation, positive blood cultures, and echocardiography revealing large vegetations.

Findings:

  • The study confirms Candida albicans as a rare but serious etiologic agent in pediatric infective endocarditis.
  • Large vegetations on echocardiography suggested a fungal origin, confirmed by blood cultures.

Implications:

  • This case underscores the potential for fungal endocarditis as a complication of congenital heart defect surgery.
  • Prompt diagnosis and tailored therapeutic strategies are essential for managing this high-mortality condition.

Keywords:
Atrioventricular canalCanal atrioventriculaireCandida albicansChildEndocardite fongiqueFungal endocarditisPédiatrie

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