Copyright © 2005, The European Society of Cardiology
Voluminous mycetoma in a newborn with down syndrome: Role of echocardiography
aUniversity of Foggia, Department of Cardiology, viale Luigi Pinto, 1. 71100 Foggia, Italy
bHospital OO.RR Foggia, Neonatal Intensive Care Unit, Foggia, Italy
Received 7 June 2005; received in revised form 4 July 2005; accepted after revision 27 July 2005.
* Corresponding author. Tel.: +881733652; fax: +881745424. opsfco{at}tin.it
| Abstract |
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We report a case of a baby with Down Syndrome and history of a corrective surgery for a duodenum stenosis, which was subjected to a parenteral nutrition with central venous catheter. A two-dimensional color Doppler echocardiographic examination revealed a voluminous oval-shaped mobile inhomogeneous mass adhering to the tricuspid valve. The intraoperative pathology showed that it was a large fungal vegetation. The probable source of Candida Albicans was an infected intravenous catheter. We wish to remark the role of echocardiography in the diagnosis and choice of timing of surgery.
Keywords: Endocarditis; Vegetation; Echocardiography; Central venous catheter
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