Cited by 137Antifungal resistance and susceptibilityOcular Infections and TreatmentsNeonatal and Maternal Infections

Ophthalmologic, Visceral, and Cardiac Involvement in Neonates with Candidemia

Noyola, D. E., Fernandez, M., Moylett, E. H., Baker, C. J.·2001·Clinical Infectious Diseases

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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Crossref · 10.1086/319601

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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
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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