Candida albicans septic thrombosis of the right atrium is associated with a central venous catheter.
Right atrial thrombus formation is a rare complication of central venous catheterization in adults. Infection of this thrombus is exceptional. A case of a right atrial thrombus associated with Candida albicans infection is described. Surgical thrombectomy, withdrawal of the catheter, and long-term antiinfectious therapy seem the only appropriate treatment. The literature on this unusual condition is reviewed.
Kentos
A
A
Department of Cardiac Surgery, Erasme University Hospital, Brussels, Belgium.
Dufaye
P
P
Jacobs
F
F
De Smet
J M
JM
Serruys
E
E
Thys
J P
JP
D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D002176:Candida albicans / Q000302:isolation & purification; D002177:Candidiasis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D003328:Coronary Thrombosis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000382:microbiology*; D006801:Humans; D008875:Middle Aged; D018805:Sepsis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D017131:Thrombectomy; D014463:Ultrasonography
D000935:Antifungal Agents; D000666:Amphotericin B