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Native valve endocarditis due to Candida albicans in two children: Two new case reports
Author(s) -
Guner Gizem,
Bal Zumrut Sahbudak,
Dogan Eser,
Umit Zuhal,
Levent Erturk,
Hilmioglu Polat Suleyha,
Ozkinay Ferda,
Kurugol Zafer
Publication year - 2019
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.14406
Subject(s) - medicine , endocarditis , asymptomatic , central venous catheter , complication , cardiac surgery , surgery , candida albicans , catheter , intensive care medicine , genetics , biology
Candida endocarditis ( CE ) is a rare and serious complication of candidemia. Using current diagnostic tools a confirmed diagnosis is often delayed and outcomes remain poor. The majority of new cases occur following cardiac valvular surgery, and/or in patients with the following risk factors: intravenous drug use, cancer chemotherapy, prolonged presence of central venous catheters, and prior history of bacterial endocarditis. It is not a common complication in non‐neutropenic patients particularly with the absence of a prosthetic valve, and very few reports in the literature are available. Attempting to add to the limited data, 211 candidemia episodes from 172 nonneutropenic pediatric cases between January 2008 and December 2017 were evaluated. All patients were considered asymptomatic for underlying heart disease. However, 2 (0.9%) patients with a central venous catheter were determined as having endocarditis following echocardiography.