Successful treatment of Candida albicans endocarditis in a child with leukemia--a case report and review of the literature
Document Type
Article
Publication Date
8-1-1999
Abstract
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.
Keywords
Antifungal Agents/administration & dosage, Candidiasis/diagnosis, Candidiasis/drug therapy
Divisions
fac_med
Publication Title
Singapore Medical Journal
Volume
40
Issue
8
Publisher
Stamford Publishing Pte Ltd / Singapore Medical Association
Additional Information
Department of Paediatrics, University Malaya Medical Centre, Kuala Lumpur, Malaysia