title: Voluminous mycetoma in a newborn with Down Syndrome: role of echocardiography.
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.
authors.affiliation: University of Foggia, Department of Cardiology, viale Luigi Pinto, 1. 71100 Foggia, Italy. opsfco@tin.it
authors.forename: Michele
authors.initials: M
authors.lastname: Correale
authors.forename: Riccardo
authors.initials: R
authors.lastname: Ieva
authors.forename: Matteo
authors.initials: M
authors.lastname: Rinaldi
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Rinaldi
authors.forename: Matteo
authors.initials: M
authors.lastname: Di Biase
mesh_terms: D002177:Candidiasis / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D006348:Cardiac Surgical Procedures; D002405:Catheterization, Central Venous / Q000009:adverse effects; D004314:Down Syndrome / Q000150:complications*; D004380:Duodenal Obstruction / Q000382:microbiology / Q000628:therapy; D018618:Echocardiography, Doppler, Color; D005260:Female; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D008271:Mycetoma / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D010288:Parenteral Nutrition / Q000295:instrumentation; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery