eMedicine Specialties > Pediatrics: Cardiac Disease and Critical Care Medicine > Cardiology

Endocarditis, Fungal: Follow-up

Author: Robert W Tolan Jr, MD, Chief, Division of Allergy, Immunology and Infectious Diseases, The Children's Hospital at Saint Peter's University Hospital; Clinical Associate Professor of Pediatrics, Drexel University College of Medicine
Contributor Information and Disclosures

Updated: Feb 2, 2009

Follow-up

Further Inpatient Care

  • Patients with fungal endocarditis (FE) require monitoring in an ICU setting.

Transfer

  • Arrange for transfer if the appropriate resources are not locally available.

Complications

  • The most common complications in survivors are associated with embolic phenomena, postoperative issues, and underlying or predisposing conditions.

Prognosis

  • Prognosis is improving because of advances in intensive and operative care, but the survival rate remains less than 25%.

Patient Education

Miscellaneous

Medicolegal Pitfalls

  • Failure to consider or to make the diagnosis in the appropriate context
  • Failure to diagnose fungal endocarditis (FE) because of negative blood cultures
 


More on Endocarditis, Fungal

Overview: Endocarditis, Fungal
Differential Diagnoses & Workup: Endocarditis, Fungal
Treatment & Medication: Endocarditis, Fungal
Follow-up: Endocarditis, Fungal
References
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References

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Further Reading

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Keywords

fungal endocarditis, FE, arthritis, Aspergillus, bacterial endocarditis, Blastomyces dermatitidis, Candida, candidal endocarditis, candidal infection, cardiac infection, central hyperalimentation, CHA, Coccidioides immitis, Cryptococcus neoformans, disseminated candidal infection, fever, fungal infection, Fusarium, heart murmur, Histoplasma capsulatum, infectious endocarditis, Janeway lesions, Mucor, neonatal sepsis, Osler nodes, overwhelming infection, petechiae, Pseudallescheria boydii, Roth spots, splenomegaly, splinter hemorrhages, superior vena cava syndrome, Torulopsis galbrata, Trichosporon beigelii, weight loss

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Contributor Information and Disclosures

Author

Robert W Tolan Jr, MD, Chief, Division of Allergy, Immunology and Infectious Diseases, The Children's Hospital at Saint Peter's University Hospital; Clinical Associate Professor of Pediatrics, Drexel University College of Medicine
Robert W Tolan Jr, MD is a member of the following medical societies: American Academy of Pediatrics, American Medical Association, American Society for Microbiology, American Society of Tropical Medicine and Hygiene, Infectious Diseases Society of America, Pediatric Infectious Diseases Society, Phi Beta Kappa, and Physicians for Social Responsibility
Disclosure: GlaxoSmithKline Honoraria Speaking and teaching; MedImmune Honoraria Consulting; MedImmune Honoraria Speaking and teaching; Merck Honoraria Speaking and teaching; Novartis Honoraria Speaking and teaching; sanofi pasteur Grant/research funds Unrestricted research grant; sanofi pasteur  Consulting; sanofi pasteur Honoraria Speaking and teaching; Tap Honoraria Speaking and teaching; Baxter Healthcare Honoraria Speaking and teaching

Medical Editor

Jeffrey Allen Towbin, MD, MSc, FAAP, FACC, FAHA, Professor, Departments of Pediatrics (Cardiology), Cardiovascular Sciences, and Molecular and Human Genetics, Baylor College of Medicine; Chief of Pediatric Cardiology, Foundation Chair in Pediatric Cardiac Research, Texas Children's Hospital
Jeffrey Allen Towbin, MD, MSc, FAAP, FACC, FAHA is a member of the following medical societies: American Academy of Pediatrics, American Association for the Advancement of Science, American College of Cardiology, American College of Sports Medicine, American Heart Association, American Medical Association, American Society of Human Genetics, Cardiac Electrophysiology Society, Heart Rhythm Society, New York Academy of Sciences, Society for Pediatric Research, Texas Medical Association, and Texas Pediatric Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Mary L Windle, PharmD, Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy, Pharmacy Editor, eMedicine
Disclosure: Pfizer Inc Stock Investment from financial planner; Avanir Pharma Stock Investment from financial planner ; WebMD Salary and stock Employment and investment from financial planner

Managing Editor

Julian M Stewart, MD, PhD, Associate Chairman of Pediatrics, Director, Center for Hypotension, Westchester Medical Center; Professor of Pediatrics and Physiology, New York Medical College
Julian M Stewart, MD, PhD is a member of the following medical societies: American Academy of Pediatrics
Disclosure: Nothing to disclose.

CME Editor

Gilbert Herzberg, MD, Assistant Professor, Department of Pediatrics, Section of Pediatric Cardiology, New York Medical College
Gilbert Herzberg, MD is a member of the following medical societies: American Academy of Pediatrics
Disclosure: Nothing to disclose.

Chief Editor

Steven R Neish, MD, SM, Director of Pediatric Cardiology Fellowship Program, Associate Professor, Department of Pediatrics, Baylor College of Medicine
Steven R Neish, MD, SM is a member of the following medical societies: American Academy of Pediatrics, American College of Cardiology, and American Heart Association
Disclosure: Nothing to disclose.

 
 
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