Nicolae Georgiana, Nicolescu Alin, Vintila Ana-Maria, Diaconu Adriana, Andronache Andreea, Duica Gabriela, Cinteza Eliza, Filip Cristina
"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Department of Pediatric Cardiology, "Marie S. Curie" Pediatric Emergency Hospital, Bucharest, Romania.
Maedica (Bucur). 2015 Jun;10(2):123-126.
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-monthold 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.
感染性心内膜炎在儿童中罕见，在未经任何手术干预的正常结构心脏的婴儿中更为罕见。大多数病例与先前存在的先天性病变有关，最常见的病因是革兰氏阳性球菌，最可怕的是真菌病原体。本报告介绍了一名7个月大的婴儿，其正常结构心脏患有真菌性心内膜炎。临床检查怀疑诊断，并通过超声心动图和血培养阳性得以证实。他在药物和手术治疗后的特殊临床演变说明了一种预后不良的严重疾病，这可能是新生儿重症监护程序的并发症。先前健康婴儿发生真菌性心内膜炎的不寻常原因：新生儿在重症监护病房住院。
