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

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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.

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Authors and Affiliations

  1. Department of Medicine, New Jersey Medical School, 185 South Orange Avenue I-538, University Heights, Newark, NJ 07103, USA, USA

    Monica T. Gressianu, Vivek N. Dhruva, Rohit R. Arora, Sanjeev Patel, Santos Lopez & Muhamed Saric

  2. Department of Cardiothoracic Surgery, New Jersey Medical School, 185 South Orange Avenue G-595, University Heights, Newark, NJ 07103, USA, USA

    Ayad K. Jihayel

Authors
  1. Monica T. Gressianu
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  2. Vivek N. Dhruva
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  3. Rohit R. Arora
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  4. Sanjeev Patel
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  5. Santos Lopez
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  6. Ayad K. Jihayel
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  7. Muhamed Saric
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Gressianu, M.T., Dhruva, V.N., Arora, R.R. et al. Massive septic thrombus formation on a superior vena cava indwelling catheter following Torulopsis (Candida) glabrata fungemia. Intensive Care Med 28, 379–380 (2002). https://doi.org/10.1007/s00134-001-1171-8

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  • DOI: https://doi.org/10.1007/s00134-001-1171-8

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