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February 1973

Repeated Pulmonary Embolism in an Infant: With Subacute Candida endocarditis of the Right Side of the Heart

Author Affiliations

From the Department of Pathology, the Montreal Children's Hospital, Montreal. Dr. Joshi is now with the Department of Pathology, Medical College of Virginia, Richmond, Va.

Am J Dis Child. 1973;125(2):257-259. doi:10.1001/archpedi.1973.04160020075015

A case of repeated pulmonary embolism in a 10-month-old infant treated with intravenous hyperalimentation for recurrent diarrhea is described. The pulmonary emboli arose from the lesions of Candida endocarditis involving the tricuspid valve and the right ventricle. Candida endocarditis developed as a complication of intravenous hyperalimentation. Pulmonary endarteritis elicited by the Candida organisms in the pulmonary emboli arrested the spread of the organisms into the pulmonary parenchyma and systemic circulation. Electron microscopic features of the C albicans are also briefly described.

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