title: [Successful treatment of fungal endocarditis and mediastinitis after fenestrated Fontan operation--a case report].
abstract: Fenestrated Fontan operation was performed in a 19-year-old male with a diagnosis of right isomerism syndrome. Postoperatively, fungal endocarditis due to Candida Albicans and mediastinitis by Methicilin resistant Staphylococcus Aureus (MRSA) occurred. For Candida endocarditis, combined surgery and medical treatment with amphotericin B was effective. MRSA mediastinitis was successfully treated by continuous closed irrigation with 0.5% povidone-iodine solution. This is the 17th reported case of fungal endocarditis after open heart surgery in Japanese literature.
authors.affiliation: Department of Cardiovascular Surgery, Pediatric Cardiology, National Children's Hospital, Tokyo, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Miyaji
authors.forename: M
authors.initials: M
authors.lastname: Shimada
authors.forename: A
authors.initials: A
authors.lastname: Sekiguchi
authors.forename: K
authors.initials: K
authors.lastname: Nishimura
authors.forename: A
authors.initials: A
authors.lastname: Ishizawa
authors.forename: T
authors.initials: T
authors.lastname: Isoda
mesh_terms: D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D002177:Candidiasis / Q000188:drug therapy / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D004696:Endocarditis / Q000188:drug therapy / Q000601:surgery*; D006325:Heart Atria / Q000601:surgery; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000382:microbiology / Q000601:surgery*; D016106:Methicillin Resistance; D011183:Postoperative Complications / Q000601:surgery*; D011651:Pulmonary Artery / Q000601:surgery; D013203:Staphylococcal Infections; D013211:Staphylococcus aureus
chemical_list: D000666:Amphotericin B