title: A large intracardiac fungus ball in a premature infant.
abstract: We present a premature infant with large intracardiac mass. She had a history of sepsis and umbilical venous catheterization in the neonatal period. Twenty-seven days after withdrawal of the catheter, a precordial murmur was noted. A large right atrial highly mobile mass suspected to be thrombus was detected by echocardiography. C-reactive protein was elevated. Three blood cultures were negative. Anticoagulation treatment was started. After one week, no resolution of the thrombus was observed. The mass was surgically resected and diagnosis of thrombus infected by fungi was made on histopathological examination. Early screening of cardiac chambers by echocardiography is recommended in all preterms with intravascular catheterization.
authors: Department of Pediatric Cardiology, Ankara Children's, Hematology and Oncology Hospital, Ankara, Turkey.
authors: Filiz
authors: F
authors: Ekici
authors: Birgül
authors: B
authors: Varan
authors: Berna
authors: B
authors: Saylan-Cevik
authors: Murat
authors: M
authors: Ozkan
authors: Alev
authors: A
authors: Ok-Atilgan
authors: Ayla
authors: A
authors: Oktay
mesh_terms: D002177:Candidiasis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D002404:Catheterization / Q000009:adverse effects; D004452:Echocardiography; D005260:Female; D006325:Heart Atria; D006331:Heart Diseases / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000175:diagnosis* / Q000601:surgery; D013927:Thrombosis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D014471:Umbilical Veins