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Case Report 


Fungal endocarditis with right ventricular candidal mycetoma in a premature neonate

Dr Jayashree Purkayastha, Dr Leslie Edward Lewis, Dr Ramesh Bhat Y, Dr Morakhia Jwalit V, Dr Ranjan Shetty K, Dr Muhammad Najih L.


Cited By:1

Abstract
Fungal mycetoma or endocarditis is rare in premature neonates and it is often associated with high mortality. In the majority of the cases diagnosis is made postmortem. Here we report a 30-week-old preterm neonate who developed Candida albicans blood stream infection complicated by endocarditis and subsequent mycetoma. Initially, this neonate had Klebsiella sepsis requiring multiple antibiotic courses. A peripherally inserted central venous catheter was used to give total parenteral nutrition. On day 24 of life, he developed candidemia, treated with 14 day course of fluconazole and shown improvement. Further, on day 60 of life he developed cholestasis, deranged liver function tests and persis¬tent thrombocytopenia along with apnea, bradycardia and desaturations. Blood culture again grew again C. albicans. Echocardiography showed large fungal vegetation on tricuspid valve with a mycetoma filling the right ventricle. He was treated with intravenous amphotericin B, fluconazole and supportive measures, but he deteriorated and succumbed after 2 weeks. J Microbiol Infect Dis 2015;5(3): 142-145
Jayashree Purkayastha, Department of Paediatrics, Kasturba Medical College, Manipal University, Manipal, 576 104 Karnataka, India, Fungal endocarditis with right ventricular candidal mycetoma in a premature neonate, Jayashree Purkayastha, Department of Paediatrics, Kasturba Medical College, Manipal University, Manipal, 576 104 Karnataka, India J Microbiol Infect Dis 2015;5(3): 142-145


doi: 10.5799/ahinjs.02.2015.03.0194


 
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How to Cite this Article
Pubmed Style

Purkayastha DJ, Lewis DLE, Y DRB, V DMJ, K DRS, L DMN. Fungal endocarditis with right ventricular candidal mycetoma in a premature neonate. J Microbiol Infect Dis. 2015; 5(3): 142-146.

doi:10.5799/jmid2015.03.0194

Web Style

Purkayastha DJ, Lewis DLE, Y DRB, V DMJ, K DRS, L DMN. Fungal endocarditis with right ventricular candidal mycetoma in a premature neonate. https://www.jmidonline.org/?mno=302657259 [Access: June 27, 2026].

doi:10.5799/jmid2015.03.0194

AMA (American Medical Association) Style

Purkayastha DJ, Lewis DLE, Y DRB, V DMJ, K DRS, L DMN. Fungal endocarditis with right ventricular candidal mycetoma in a premature neonate. J Microbiol Infect Dis. 2015; 5(3): 142-146.


doi:10.5799/jmid2015.03.0194

Vancouver/ICMJE Style

Purkayastha DJ, Lewis DLE, Y DRB, V DMJ, K DRS, L DMN. Fungal endocarditis with right ventricular candidal mycetoma in a premature neonate. J Microbiol Infect Dis. (2015), [cited June 27, 2026]; 5(3): 142-146.


doi:10.5799/jmid2015.03.0194

Harvard Style

Purkayastha, D. J., Lewis, . D. L. E., Y, . D. R. B., V, . D. M. J., K, . D. R. S. & L, . D. M. N. (2015) Fungal endocarditis with right ventricular candidal mycetoma in a premature neonate. J Microbiol Infect Dis, 5 (3), 142-146.


doi:10.5799/jmid2015.03.0194

Turabian Style

Purkayastha, Dr Jayashree, Dr Leslie Edward Lewis, Dr Ramesh Bhat Y, Dr Morakhia Jwalit V, Dr Ranjan Shetty K, and Dr Muhammad Najih L. 2015. Fungal endocarditis with right ventricular candidal mycetoma in a premature neonate. Journal of Microbiology and Infectious Diseases, 5 (3), 142-146.


doi:10.5799/jmid2015.03.0194

Chicago Style

Purkayastha, Dr Jayashree, Dr Leslie Edward Lewis, Dr Ramesh Bhat Y, Dr Morakhia Jwalit V, Dr Ranjan Shetty K, and Dr Muhammad Najih L. "Fungal endocarditis with right ventricular candidal mycetoma in a premature neonate." Journal of Microbiology and Infectious Diseases 5 (2015), 142-146.


doi:10.5799/jmid2015.03.0194

MLA (The Modern Language Association) Style

Purkayastha, Dr Jayashree, Dr Leslie Edward Lewis, Dr Ramesh Bhat Y, Dr Morakhia Jwalit V, Dr Ranjan Shetty K, and Dr Muhammad Najih L. "Fungal endocarditis with right ventricular candidal mycetoma in a premature neonate." Journal of Microbiology and Infectious Diseases 5.3 (2015), 142-146. Print.


doi:10.5799/jmid2015.03.0194

APA (American Psychological Association) Style

Purkayastha, D. J., Lewis, . D. L. E., Y, . D. R. B., V, . D. M. J., K, . D. R. S. & L, . D. M. N. (2015) Fungal endocarditis with right ventricular candidal mycetoma in a premature neonate. Journal of Microbiology and Infectious Diseases, 5 (3), 142-146.


doi:10.5799/jmid2015.03.0194

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