The Turkish Journal of Pediatrics 2011 , Vol 53 , Num 3
A Large Intracardiac Fungus Ball in A Premature Infant
1Department of Pediatric Cardiology, Ankara Children’s, Hematology and Oncology Hospital, and Departments of 2Pediatric Cardiology, 3Cardiovascular Surgery, and 4Pathology, Başkent University Faculty of Medicine, Ankara, Turkey Ekici F, Varan B, Şaylan-Çevik B, Özkan M, Ok-Atılgan A, Oktay A. A large intracardiac fungus ball in a premature infant. Turk J Pediatr 2011; 53: 325-327.

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. Keywords : intracardiac thrombosis, umbilical catheterization, preterm infants.

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