[Intracardiac fungal mass in extreme premature patient].

Milagros C Diaz Rojas, Julio E Peralta Rodríguez, Oscar A Soto Béjar
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Abstract

There are few reports on intracardiac fungal masses, especially in the pediatric population. We present the case of an extremely premature patient who, after being hospitalized since birth in an intensive care unit, developed fungal masses in the right atrium, which, due to their size, location and resistance to medical treatment, required surgical excision. For this reason, at the slightest suspicion of systemic candidiasis in pediatric patients, it is mandatory to include an echocardiogram in the defocalization examinations to rule out endocarditis and thus avoid the development of intracardiac fungal masses. Therefore, early detection for timely medical management may avoid the surgical approach associated with a high risk of morbidity and mortality in extremely premature patients.

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[极度早产儿心内真菌团块]。
关于心内真菌肿块的报道很少,特别是在儿科人群中。我们提出了一个极端早产儿的病例,在重症监护病房出生后住院,右心房出现真菌肿块,由于其大小,位置和药物治疗的阻力,需要手术切除。因此,在小儿患者最轻微的怀疑全身性念珠菌病时,必须在去焦检查中包括超声心动图,以排除心内膜炎,从而避免心内真菌肿块的发展。因此,早期发现和及时的医疗管理可以避免与极早产患者高发病率和死亡率相关的手术方法。
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4 weeks
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[Andersen-Tawil Syndrome, a differential of bidirectional ventricular tachycardia: a case report]. [Balloon atrioseptostomy under echocardiographic and fluoroscopic guide in patients with congenital heart diseases under 3 months in a national reference pediatric center]. [Frailty and adverse outcomes in patients over 65 years old with acute coronary syndrome in a hospital cohort in Medellin, Colombia]. [Hypertrophic cardiomyopathy with mid-ventricular phenotype and filamin C mutation, an uncommon case report]. [Neonatal screening for critical congenital heart diseases in Peru: an urgent call].
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