Endocardite por Cândida parapsilosis após correcção total de tetralogia de Fallot. Tratamento médico-cirúrgico.

Autores

  • A Macedo Serviço de Cardiologia Pediátrica, Hospital de Santa Marta, Lisboa.
  • A Agualusa
  • S Kaku
  • M Lima
  • J Cabrita
  • R Bento
  • F Sampayo

DOI:

https://doi.org/10.20344/amp.3377

Resumo

Three children with Candida Parapsilosis endocarditis after total surgical correction for Tetralogy of Fallot, are reported. Blood cultures became negative in one child with amphotericin-B and in the other two with Ketoconazole, before reoperation for septal patch replacement. Oral therapy with Ketoconazole continued for a total of 24 months, and during a mean follow-up of 36 months no side effects or reinfection occurred. Medical and surgical conjoined therapy, with surgical timing decided on clinical and laboratorial grounds, were important for good results and cure.

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1.
Macedo A, Agualusa A, Kaku S, Lima M, Cabrita J, Bento R, Sampayo F. Endocardite por Cândida parapsilosis após correcção total de tetralogia de Fallot. Tratamento médico-cirúrgico. Acta Med Port [Internet]. 31 de Dezembro de 1991 [citado 23 de Novembro de 2024];4(6):301-4. Disponível em: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/3377

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