Repeated Pulmonary Embolism in an Infant

Abstract

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

Echocardiographic diagnosis of Candida endocarditis of the tricuspid valve and of the right atrium in a young infant

“…Repeated pulmonary emboli arising from the tri-cuspid valve vegetations were suspected to be the cause of the repeated episodes of circulatory shock which finally led to death [4] . Even in retrospect it is impossible to decide whether the striking mass of echoes posterior to the anterior leaflet of the tricuspid valve were produced by the vegetations covering the atrial surface of the leaflets of the tricuspid valve, by the prolapsing atrial thrombus, or by both .…”