[Fungal endocarditis in the neonatal period. Report of a case with large right atrial mass].
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Resumo
OBJECTIVE
To draw pediatricians' attention to diagnoses of Fungal Endocarditis, which may ensue as a result of intravascular catheter use.
METHODS
The authors report a case of Fungal Endocarditis during the neonatal period, which was later confirmed through a histopathological exam. They also review literature of the theme - from 1980 on - in MEDLINE and LILACS.
RESULTS
A newborn was admitted to the hospital with kernicterus - but no previous cardiopathy - and required the use of an intravascular catheter. During the evolution, the baby developed a recurring fever and systolic murmur. Submitted to exam, the tip of the catheter showed the presence of Candida sp. An ecocardiographic exam showed a great right intra-atrial mass, which was surgically removed. The histopathological exam confirmed the diagnosis of fungal endocarditis.
CONCLUSIONS
Fungal Endocarditis should be thought of as a possible diagnosis when great intra-atrial masses are found in neonates with a history of intravascular catheter use and a non-specific infectious condition.
