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CASE REPORT
Year : 2017  |  Volume : 6  |  Issue : 2  |  Page : 94-96

Successful medical treatment of Candida albicans endocarditis in an extremely low birth weight infant


Department of Pediatrics, Pediatric and Neonatal Intensive Care Unit, Bufalini Hospital, Cesena, Italy

Correspondence Address:
Vittoria Rizzo
Pediatric-Neonatal Intensive Care Unit, Bufalini Hospital, V.le Ghirotti 286, 47521 Cesena FC
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcn.JCN_195_15

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Fungal endocarditis is an uncommon complication of invasive fungal infections and is associated with high burden of morbidity and mortality. It frequently occurs in premature infants, and Candida albicans is the predominant fungal agent. We report a case of a female neonate, born at 27 weeks of gestation, who developed during the 2nd week of life candidemia and endocardic vegetation. Initially treated with fluconazole, she received caspofungin combined with liposomal amphotericin B and subsequently micafungin plus low-dose heparin. We observed the complete resolution of the vegetation 7 weeks after the end of the treatment.


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