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European Journal of Echocardiography 2006 7(5):398-400; doi:10.1016/j.euje.2005.07.008
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Copyright © 2005, The European Society of Cardiology

Voluminous mycetoma in a newborn with down syndrome: Role of echocardiography

Michele Correalea,*, Riccardo Ievaa, Matteo Rinaldib, Giuseppe Rinaldib and Matteo Di Biasea

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

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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Eur J EchocardiogrHome page
D. E. Troise, G. F. Guarnieri, N. Laforgia, M. R. Tagliente, T. Pirolo, P. Arciprete, and L. de Luca Tupputi Schinosa
Multidisciplinary approach in a case of successful surgical treatment of a voluminous intracardiac fungal mass in an infant
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Home page
Eur J EchocardiogrHome page
M. Correale, R. Ieva, M. Rinaldi, G. Rinaldi, and M. Di Biase
Multidisciplinary approach in a case of successful surgical treatment of a voluminous intracardiac fungal mass in an infant: reply
Eur J Echocardiogr, May 1, 2008; 9(3): 319 - 319.
[Full Text] [PDF]



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