Ophthalmologic, Visceral, and Cardiac Involvement in Neonates with Candidemia
Abstract
A retrospective review of 86 neonates with candidemia hospitalized from January 1989 through June 1999 was conducted to determine the frequency of ophthalmologic, visceral, or cardiac involvement. Retinal abnormalities were observed in 4 (6%) of the 67 infants in whom indirect ophthalmoscopy examination was performed. Abdominal ultrasound abnormalities were detected in 5 (7.7%) of 65 infants. Echocardiogram revealed thrombi or vegetations in 11 (15.2%) of 72 infants. Age at onset, presence of central venous catheters, and species of Candida were not predictors for involvement at these sites. Infants with candidemia that lasted > or =5 days were more likely to demonstrate ophthalmologic, renal, or cardiac abnormalities than those with a shorter duration. Infants with involvement of these organs received larger cumulative doses of amphotericin B than those without detectable abnormalities. Because complication of disseminated candidiasis by eye, renal, or cardiac involvement has therapeutic implications, and because risk factors for candidemia inadequately predict these complications, evaluations are indicated for all neonates with candidemia.
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In neonates, a duration of candidemia of at least 5 days has been linked to the likelihood of ophthalmologic, renal, and cardiac involvement.
“In neonates, a duration of candidemia of у5 days has been linked to the likelihood of ophthalmologic, renal, and cardiac involvement [114].”
From Guidelines for Treatment of Candidiasis (2004) · cites this paper as [114]
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- Authors
- Noyola, D. E., Fernandez, M., Moylett, E. H., & Baker, C. J.
- Affiliations
- Baylor College of Medicine (US)
- Corresponding author
- Baker, C. J.
- Venue
- Clinical Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2001-04-01
- Volume
- 32
- Issue
- 7
- Pages
- 1018-1023
- ISSN
- 1058-4838 (ISSN-L)
- 1537-6591
- OpenAlex
- W2008519120
- Cited by
- 137
- References
- 29
- Citations by year
- 2025: 4 · 2024: 5 · 2023: 5 · 2022: 1 · 2021: 4 · 2020: 3 · 2019: 2 · 2018: 5 · 2017: 9 · 2016: 1 · 2015: 3 · 2014: 7 · 2013: 12 · 2012: 9
- FWCI
- 4.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Infectious Diseases (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
- Health Sciences › Medicine › Ophthalmology › Ocular Infections and Treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Neonatal and Maternal Infections
- Keywords
- neonatal candidemia, systemic candidiasis, retinal abnormalities, ocular complications, visceral involvement, cardiac involvement, endocarditis, renal involvement, amphotericin B, central venous catheters, Candida species
- MeSH terms
- Candida, Candidiasis, Eye Diseases, Female, Heart Diseases, Humans, Infant, Newborn, Kidney Diseases, Liver Diseases, Male, Retrospective Studies, Fungemia
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