Abstract
Fungal endocarditis in children is most commonly a complication of palliative or curative surgery for congenital heart disease, rheumatic valvulitis and prolonged indwelling central venous and umbilical catheters. We describe here the case of a 3-y-old patient with chronic diarrhoea and prolonged total parenteral alimentation who developed severe C. tropicalis endocarditis and was treated successfully using a liposomal preparation of amphotericin-B (AmBisome) without surgical intervention.
MeSH terms
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Amphotericin B / administration & dosage
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Amphotericin B / therapeutic use*
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Antifungal Agents / administration & dosage
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Antifungal Agents / therapeutic use*
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Candida / isolation & purification
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Candidiasis / drug therapy*
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Child, Preschool
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Chronic Disease
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Diarrhea / complications
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Drug Carriers
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Echocardiography
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Endocarditis / diagnostic imaging
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Endocarditis / drug therapy*
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Endocarditis / microbiology
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Heart Atria / diagnostic imaging
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Heart Atria / microbiology
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Humans
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Liposomes
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Male
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Treatment Outcome
Substances
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Antifungal Agents
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Drug Carriers
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Liposomes
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Amphotericin B