Right atrial fungal endocarditis with bilateral extensive pulmonary infiltration caused by Neoscytalidium dimidiatum in an immunocompetent child: first case report from India

Right atrial fungal mycetoma with extensive bilateral pulmonary dissemination is infrequent and lethal in children. The treatment approach in this situation are extensive fungal mass resection and perioperative antifungal therapy. We present a 9-year-old immunocompetent child who presented with a la...

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Bibliographic Details
Published in:Indian journal of thoracic and cardiovascular surgery 2016-03, Vol.32 (1), p.23-26
Main Authors: Mishra, Ramesh Chandra, Barik, Ramachandra, Arif, Mohd Abiduddin, Malempati, Amaresh Rao
Format: Article
Language:English
Subjects:
Cardiac Surgery
Case Report
Medicine
Medicine & Public Health
Surgery
Thoracic Surgery
Vascular Surgery
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Summary:Right atrial fungal mycetoma with extensive bilateral pulmonary dissemination is infrequent and lethal in children. The treatment approach in this situation are extensive fungal mass resection and perioperative antifungal therapy. We present a 9-year-old immunocompetent child who presented with a large right atrial fungal mass with bilateral pulmonary infiltration. Empirical oral voriconazole was given for 2 weeks, during preparation for fungal mass resection because of rapidly deteriorating general condition. However, the outcome was fatal. Histopathology and fungal culture diagnosed the fungus to be Neoscytalidium dimidiatum . To the best of our knowledge, this is the first report from the Indian subcontinent describing a right atrial fungal mass with extensive pulmonary dissemination caused by N. dimidiatum .
ISSN:0970-9134
0973-7723
DOI:10.1007/s12055-015-0405-2