[Kodamaea ohmeri infection in a newborn with a mediastinal mass].
Invasive fungal infections are a considerable cause of morbidity, mortality, increased hospital stay durations, and high health care costs, during neonatal period. In this period, the premature infants are the most affected. Candida species are the leading cause of invasive fungal infections. The majority of neonatal Candida infections are caused by C. albicans, C. parapsilosis, C. glabrata and C. tropicalis, although other fungus species are being reported. One such emerging pathogen is K. ohmeri. This organism has been reported as a pathogen in the neonatal period, principally in premature infants. The risk factors associated with fungal infection are central line, immunosuppression, prolonged hospital stay, endotracheal intubation and exposure to antibiotics. We present a term baby with a mediastinal mass, who required several procedures, as pericardiocentesis, central catheters, mechanical ventilation, antibiotics. During his evolution, he presented infection by K. ohmeri. The baby was treated with amphotericin B, with satisfactory clinical course.
Departamento de Pediatría, Unidad Neonatal. Fundación Cardiovascular de Colombia. Jorgealso2@yahoo.com.
Jorge
J
Alvarado Socarras
Unidad de Cuidado Intensivo Pediátrico. Universidad de Santander. Bucaramanga, Colombia.
Juan P
JP
Rojas Torres
Servicio de Infectología Pediátrica. Fundación Cardiovascular de Colombia.
José A
JA
Vargas Soler
Departamento de Radiología. Fundación Cardiovascular de Colombia.
Carlos
C
Guerrero
D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008482:Mediastinum; D009181:Mycoses / Q000175:diagnosis*; D004718:Saccharomycetales
Kodamaea ohmeri; Mediastinal tumour; Mycotic infection; Neonate