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Giant Cardiac Mass Detected to an Infant with Normal Fetal Echography and No Systolic Murmur in Early Postnatal Evolution
Georgiana NICOLAE, Alin NICOLESCU, Ana-Maria VINTILA, Adriana DIACONU, Andreea ANDRONACHE, Gabriela DUICA, Eliza CINTEZA and Cristina FILIP
ABSTRACT
Infective endocarditis is rare in children and is rarer on a normal structural heart in an infant without any surgical intervention. Most cases are related to a pre-existing congenital lesion, the most frequent etiology are Gram-positive cocci and the most feared are fungal agents. This report presents a 7-month-old infant with fungal endocarditis on a normal structural heart. The diagnosis was suspected on clinical examination and was confirmed by echocardiography and positive blood cultures. His particular clinical evolution after medical and surgical treatment illustrates a severe disease with poor prognosis which may be a complication of neonatal intensive care procedures.
Unusual cause of fungal endocarditis in a previously healthy infant: neonatal hospitalization in intensive care unit.