title: [Endocarditis due to an alga of the genus Prototheca sp. A saprophyte of water and of tree sap?].
abstract: We report a case of a preterm neonate with very low birth weight (775 grs), He stayed 77 days in a neonatal care unit due to respiratory distress syndrome, with respiratory support for 27 days, and complications in gastrointestinal and nervous systems. In a structural normal heart, he developed infective endocarditis that was treated with good bacteriologic results. An echocardiogram showed the persistence of a mass in the right atrium, the mass was a thrombus and it was resected. Histopathological analysis and cultures of the thrombus reported Prototheca sp. that is an algae. The patient received medical treatment with amphothericin B with satisfactory clinical evolution. He is doing well 6 months later. This is the first report of literature of an algae causing endocarditis.
authors.affiliation: Departamento de Cardiología Pediátrica, Instituto Nacional de Cardiología Ignacio Chávez, INCICH, México, D.F.
authors.forename: A
authors.initials: A
authors.lastname: Buendía
authors.forename: E
authors.initials: E
authors.lastname: Patiño
authors.forename: M
authors.initials: M
authors.lastname: Rijlaarsdam
authors.forename: M L
authors.initials: ML
authors.lastname: Loredo
authors.forename: E
authors.initials: E
authors.lastname: Rivera
authors.forename: S
authors.initials: S
authors.lastname: Ramírez
authors.forename: F
authors.initials: F
authors.lastname: Attie
mesh_terms: D000666:Amphotericin B / Q000008:administration & dosage; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D004696:Endocarditis / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature; D007239:Infections / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D009894:Opportunistic Infections / Q000175:diagnosis* / Q000188:drug therapy; D011525:Prototheca / Q000302:isolation & purification*; D014197:Trees; D014867:Water
chemical_list: D000900:Anti-Bacterial Agents; D014867:Water; D000666:Amphotericin B