title: Giant Cardiac Mass Detected to an Infant with Normal Fetal Echography and No Systolic Murmur in Early Postnatal Evolution.
abstract: Infective endocarditis is rare in children and is rarer on a normal structural heart in an infant without any surgical intervention. Most cases are related to a pre-existing congenital lesion, the most frequent etiology are Gram-positive cocci and the most feared are fungal agents. This report presents a 7-monthold infant with fungal endocarditis on a normal structural heart. The diagnosis was suspected on clinical examination and was confirmed by echocardiography and positive blood cultures. His particular clinical evolution after medical and surgical treatment illustrates a severe disease with poor prognosis which may be a complication of neonatal intensive care procedures. Unusual cause of fungal endocarditis in a previously healthy infant: neonatal hospitalization in intensive care unit.
authors.affiliation: "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
authors.forename: Georgiana
authors.initials: G
authors.lastname: Nicolae
authors.affiliation: Department of Pediatric Cardiology, "Marie S. Curie" Pediatric Emergency Hospital, Bucharest, Romania.
authors.forename: Alin
authors.initials: A
authors.lastname: Nicolescu
authors.affiliation: "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
authors.forename: Ana-Maria
authors.initials: AM
authors.lastname: Vintila
authors.affiliation: "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
authors.forename: Adriana
authors.initials: A
authors.lastname: Diaconu
authors.affiliation: Department of Pediatric Cardiology, "Marie S. Curie" Pediatric Emergency Hospital, Bucharest, Romania.
authors.forename: Andreea
authors.initials: A
authors.lastname: Andronache
authors.affiliation: Department of Pediatric Cardiology, "Marie S. Curie" Pediatric Emergency Hospital, Bucharest, Romania.
authors.forename: Gabriela
authors.initials: G
authors.lastname: Duica
authors.affiliation: "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
authors.forename: Eliza
authors.initials: E
authors.lastname: Cinteza
authors.affiliation: "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
authors.forename: Cristina
authors.initials: C
authors.lastname: Filip