Successful management of fungal pericarditis and endocarditis in a neonate : A case report

Neonatal fungal endocarditis is a rare but serious infection, which does not have a well-accepted management method. This is the second report of this condition in Saudi Arabia. A preterm, very low birth weight, female neonate presented with fever and shortness of breath. An echocardiogram showed mo...

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Veröffentlicht in:Journal of the Saudi Heart Association. - 1999. - 24(2012), 3 vom: 20. Juli, Seite 195-9
1. Verfasser: Azhar, Ahmad (VerfasserIn)
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2012
Zugriff auf das übergeordnete Werk:Journal of the Saudi Heart Association
Schlagworte:Journal Article Amphotericin B C. albicans, Candida albicans CRP, C-reactive protein Candida albicans Candidemia FE, fungal endocarditis Fluconazole Fungal endocarditis IE, infective endocarditis mehr... Infective endocarditis NICU, neonatal intensive care unit PICU, pediatric intensive care unit
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520 |a Neonatal fungal endocarditis is a rare but serious infection, which does not have a well-accepted management method. This is the second report of this condition in Saudi Arabia. A preterm, very low birth weight, female neonate presented with fever and shortness of breath. An echocardiogram showed moderate pericardial effusion and two masses in the heart, one in the right ventricle and the other in the inferior portion of the posterior mitral valve of the left ventricle. Blood and pericardial fluid cultures revealed an infection with Candida albicans. The patient received a 60 days course of intravenous fluconazole and amphotericin B lipid complex. At the conclusion of treatment, she was discharged in good condition with no echocardiographic evidence of pericardial effusion or fungal vegetations. Thus, a successful outcome to a serious case of fungal endocarditis was achieved through aggressive antifungal therapy with intravenous fluconazole and amphotericin B lipid complex 
650 4 |a Journal Article 
650 4 |a Amphotericin B 
650 4 |a C. albicans, Candida albicans 
650 4 |a CRP, C-reactive protein 
650 4 |a Candida albicans 
650 4 |a Candidemia 
650 4 |a FE, fungal endocarditis 
650 4 |a Fluconazole 
650 4 |a Fungal endocarditis 
650 4 |a IE, infective endocarditis 
650 4 |a Infective endocarditis 
650 4 |a NICU, neonatal intensive care unit 
650 4 |a PICU, pediatric intensive care unit 
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