Farah M C, Fontes R D
Departamento de Pediatria da Faculdade de Ciências Médicas da Universidade Federal de Mato Grosso, Cuiabá, MT.
J Pediatr (Rio J). 1997 Jul-Aug;73(4):273-6. doi: 10.2223/jped.558.
To draw pediatricians' attention to diagnoses of Fungal Endocarditis, which may ensue as a result of intravascular catheter use.
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.
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.
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.
引起儿科医生对真菌性心内膜炎诊断的关注，这种疾病可能因血管内导管的使用而发生。
作者报告了一例新生儿期真菌性心内膜炎病例，该病例后来通过组织病理学检查得到证实。他们还回顾了1980年以来MEDLINE和LILACS上关于该主题的文献。
一名新生儿因核黄疸入院——但之前无心脏病史——并需要使用血管内导管。在病程中，婴儿出现反复发热和收缩期杂音。经检查，导管尖端发现念珠菌属。超声心动图检查显示右心房有一个巨大肿块，已通过手术切除。组织病理学检查证实为真菌性心内膜炎。
当在有血管内导管使用史且有非特异性感染情况的新生儿中发现右心房巨大肿块时，应考虑真菌性心内膜炎这一可能的诊断。
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