1/50. Successful treatment of candida albicans endocarditis in a child with leukemia--a case report and review of the literature.Candida species is now being increasingly recognised as an important cause of endocarditis especially in immunocompromised patients. A case of candida albicans endocarditis in a child with acute lymphoblastic leukemia (ALL) is reported. The child did not have a central venous catheter at any time. Treatment consisted of intravenous amphotericin b and fluconazole for 3 weeks followed by oral fluconazole for 2 weeks. No surgical resection was necessary. We highlight here the importance of echocardiography in the management of prolonged febrile neutropenia and discuss the dilemma of continuing chemotherapy in such patients.- - - - - - - - - - ranking = 1keywords = catheter (Clic here for more details about this article) |
2/50. Successful non-surgical treatment of candida tropicalis endocarditis with liposomal amphotericin-B (AmBisome).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.- - - - - - - - - - ranking = 1keywords = catheter (Clic here for more details about this article) |
3/50. Candida endocarditis in a premature infant.endocarditis is an uncommon complication of invasive candidiasis. We present a fatal case of endocarditis caused by candida albicans in a very low birth weight infant. The 780-g male infant did not have any structural heart disease and a central venous catheter was not placed. endocarditis developed in spite of parenteral fluconazole treatment. echocardiography was a valuable tool in making the diagnosis. The infant died on the 40th day of life. The development of Candida endocarditis in a premature infant who was treated with fluconazole had not been previously reported. In the case of systemic candidiasis, premature infants require very careful monitoring for the progression of the disease, even if antifungal therapy is administered.- - - - - - - - - - ranking = 1keywords = catheter (Clic here for more details about this article) |
4/50. Right-sided non-bacterial thrombotic endocarditis in a chronic hemodialysis patient with muir-torre syndrome.endocarditis is a recognised complication ofhemodialysis. This is generally only thought of in terms of infective vegetations. We present a case of right-sided NBTE in a patient with an indwelling venous catheter who also had advanced pelvic malignancy. The unusual side of this patient's endocarditic lesions implicates a role for the venous catheter in determining the site of non-bacterial thrombus formation. It is also a reminder that endocarditis is always a risk when using central venous catheters, even after appropriate sterile precautions have been taken.- - - - - - - - - - ranking = 3keywords = catheter (Clic here for more details about this article) |
5/50. Isolated tricuspid valve endocarditis due to Candida parapsilosis associated with long-term central venous catheter implantation.A 72-year-old man was treated for fungal tricuspid valve endocarditis (TVE) with significant tricuspid valvular regurgitation and severe congestive heart failure caused by Candida parapsilosis. The patient had received hyperalimentation and antibiotic therapy for three months through a central venous catheter after the surgical treatment of ileus. The patient was treated medically with amphotericin B and fluconazole because of high surgical risk due to severe pulmonary emphysema, and he responded well. Although TVE caused by C. parapsilosis is rare, we should consider this possibility in patients receiving long-term hyperalimentation and antibiotic therapy using a central venous catheter.- - - - - - - - - - ranking = 6keywords = catheter (Clic here for more details about this article) |
6/50. Massive septic thrombus formation on a superior vena cava indwelling catheter following Torulopsis (Candida) glabrata fungemia.Fungal endocarditis is an exceedingly rare complication of indwelling central venous catheters in adults. Here we describe what appears to be the first case of a right atrial thrombus superinfected with the yeast Torulopsis (Candida) glabrata and attached to an indwelling superior vena cava catheter that was not used for parenteral nutrition. A large vegetation-like mass adherent to the catheter tip was visualized by transesophageal echocardiography in a patient who presented with signs of septic pulmonary embolism. Following open-heart surgery, the definitive diagnosis was established by histopathologic examination of the surgical specimen.- - - - - - - - - - ranking = 7keywords = catheter (Clic here for more details about this article) |
7/50. The role of glycopeptides in the treatment of intravascular catheter-related infections.There is increasing concern over multiresistant staphylococcci in catheter-associated infections. Local infections due to coagulase-negative staphylococci are usually resolved by removal of the intravascular catheter. However, if the device should remain for a certain period of time, e.g. to complete a course of chemotherapy, the antibiotic lock technique with a glycopeptide should be considered. In case of septic embolism to the lung caused by a multiresistant Staphylococccus aureus or enterococcus faecium, systemic therapy with glycopeptides, streptogramins or linezolid must be employed.- - - - - - - - - - ranking = 6keywords = catheter (Clic here for more details about this article) |
8/50. stenotrophomonas maltophilia endocarditis.stenotrophomonas maltophilia is a gram-negative bacillus that is increasingly associated with serious nosocomial infections, especially in immunocompromised patients; however, the occurrence of endocarditis due to this organism is rare. This report describes a case of S. maltophilia endocarditis associated with a central venous catheter. The literature on Stenotrophomonas endocarditis is reviewed. Given the high morbidity and mortality of these infections, early antibiotic therapy utilizing trimethoprim-sulfamethoxazole, along with a second agent and removal of prosthetic devices, is recommended.- - - - - - - - - - ranking = 1keywords = catheter (Clic here for more details about this article) |
9/50. Hemodialysis catheter-associated endocarditis: clinical features, risks, and costs.endocarditis associated with vascular access catheters for hemodialysis (HD) is a catastrophic but not widely appreciated phenomenon. Its current incidence, clinical outcome, and associated costs are not easily ascertained. Increasing use of tunneled catheters for HD access may result in a larger pool of patients at risk for endocarditis. We present two representative cases, review recent trends, and assess the current potential for additional cases.- - - - - - - - - - ranking = 6keywords = catheter (Clic here for more details about this article) |
10/50. Fibroplastic parietal endocarditis with eosinophilia.A 44-year-old woman with marked eosinophilia, leukocytosis, congestive heart failure, and the murmur of mitral stenosis had a restrictive type of pulse contour at cardiac catheterization. A right atrial angiogram revealed a huge right atrium, a small right ventricle, and a dilated contractile outflow tract consistent with the diagnosis of Loeffler's endocarditis. A marked conduction delay at the atrial level was demonstrated by His bundle electrogram studies.- - - - - - - - - - ranking = 1keywords = catheter (Clic here for more details about this article) |
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