04/09/2026
ICU dairies
A 18 day old preterm neonate with emergency LSCS and NICU stay for RD and Sepsis was referred for prolonged oxygen dependency.
Echo suggestive of hyperechoic mass around 5 x5 mm above mitral valve.
Differentials
? Infective endocarditis
? Fungal vegetation? Bacterial vegetation
? Thrombus (if there is history of umbilical canulation here it was not done)
?atrial myxoma
Fungal culture sent and iv antifungals continued. Patient now came for 8 day follow up, mass is similar in size. Patient advised to continue antifungal. Surgeons opinion taken