Massive septic thrombus formation on a superior vena cava indwelling catheter following Torulopsis (Candida) glabrata fungemia

Intensive Care Medicine
Monica T GressianuMuhamed Saric

Abstract

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.

Citations

Sep 13, 2011·Medical Mycology·Roberta CacceseMario Venditti
May 15, 2007·The British Journal of Radiology·M S MedaA Guyot
Mar 23, 2005·Intensive Care Medicine·Mathieu GazonJean P Viale
Jun 6, 2009·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Leonard A MermelDavid K Warren
Sep 7, 2011·Heart & Lung : the Journal of Critical Care·Saurabh ThakarJacob Shani
Feb 14, 2009·The Canadian Journal of Cardiology·Siva Prasad SontineniSyed M Mohiuddin

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