“Amber in chamber” an enigmatous right atrial mass in a neon
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The incidence of fungal infection is increasing worldwide. Although fungal infection is common in adults, few cases have been reported in the neonatal population. We report a case of the preterm neonate of 34 weeks who developed respiratory distress on 2nd day and was initiated on mechanical ventilation. Treatment was instituted for sepsis, but the patient continued to deteriorate. Two-dimensional echocardiography revealed a large right atrial mass, which eventually turned out to be fungal ball. Intense surgical and medical management led to a speedy recovery of the patient. Early use of echocardiography is suggested in atypical presentation of neonatal septicemia along with routine investigations to help in early recognition of source of infection...

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