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Table 1 Data from the reported cases of Candida thrombophlebitis in pediatric patients

From: Candida thrombophlebitis in children: a systematic review of the literature

Author/year/Country [Ref]

Age/Sex

Initial clinical conditions and/or related procedures

Risk factors

Candida species

Location

Presentation

Therapy

Outcome

Wiley/1977/USA [5]

PN / F

tracheoesophageal fistula, gastrostomy, cardiopulmunary arrests, aspiration pneumonia

CVC, TPN, ICU, surgery, AB

C. albicans

C. parapsilosis

SVC, RV

edema of the face and neck

amfotericin B5,

flucytosine

died

Miller/1981/USA [6]

18 mo / M

acute undifferentiated leukemia

CVC, cancer, CT, AB

C. albicans

axillary and subclavian vein

fever

antifungal therapy (n.s.)

survived

10 y / F

acute myeloid leukemia

CVC, cancer

C. tropicalis

giugular vein

fever

antinfungal agents (n.s)

survived

Torres-Rojas/1982/USA [18]

11 y / F

acute rheumatic fever

AB, steroids

C. albicans.

n.s.

fever

amphotericin B,

5-fluorocytosine,

excision of vein

survived

Malfroot/1986/Belgium [20]

17 y / M

CF, pneumonia

AB, CVC, advanced pulmonary disease

C. albicans

basilica vein

fever, phlebitis

amphotericin B,

flucytosine,

surgical excision

survived

Lacey/1988/USA [7]

13 mo/NR

broncopulmonary displasia, ECMO survivor

AB, TPN, CVC

C. albicans

IVC

sepsis, head and neck swelling

amphotericin B,

5 fluorocytosine,

streptokinase

survived

4 mo / NR

midgut volvulus

AB, TPN, CVC

C. tropicalis

SVC, IVC

sepsis, head and neck swelling

amphotericin B

5 fluorocytosine

streptokinase

survived

4 mo / NR

pentalogy of Cantrell

AB, TPN, CVC

C. albicans

SVC

sepsis, head and neck swelling

amphotericin-B,

5 fluorocytosine,

streptokinase

survived

11 mo / NR

Hirschsprung’s disease

AB, TPN, CVC

C. albicans

SVC, IVC

sepsis, head and neck swelling

amphotericin B,

5 fluorocytosine, streptokinase

survived

Cotton/1988/Rep. of South Africa [8]

PN / F

hyaline membrane disease

assisted ventilation, AB

C. parapsilosis

vein of the dorsum of the foot

phlebitis

amphotericin B,

surgical excision

survived

Berg/1989/USA [9]

5 y / F

burns and surgical debridement, sepsis, pneumonia

wound infection, ICU, AB, CVC

C. albicans

iliac and femoral veins, IVC

sepsis, phlebitis

amphotericinB, flucytosine,

heparin

survived

Ashkenazi/1990/USA [10]

4 mo / M

upper respiratory tract infection, respiratory distress (by RSV), double aortic arch

CVC, surgery, ICU, AB

C. tropicalis

IVC, renal vein

fever

amphotericin B,

heparin

survived

Cherrick/1995/USA [11]

16 mo/M

neuroblastoma, sepsis

CVC, AB, TPN, CT

C. albicans

innominate vein

fever, respiratory distress

amphotericin B, flucytosine,

streptokinase

survived

Friedland/1996/Rep. of South Africa [12]

6 mo / NR

diarrhea, sepsis

n.s.

C. parapsilosis

cubital vein

fever

fluconazole

survived

3 mo / NR

diarrhea

malnutrition

C. parapsilosis

cubital vein

phlebitis

flucanazole,

incision and drainage

survived

7 mo / NR

pneumonia

n.s.

C. albicans

forearm vein

phlebitis

fluconazole

survived

22 mo / NR

prematurity

prematurity

C. albicans

cubital

phlebitis

fluconazole,

incision and drainage

survived

4 mo / NR

diarrhea

n.s.

C. parapsilosis

hand vein

phlebitis

fluconazole, aspiration

survived

8 mo / NR

diarrhea, HIV

HIV

C. parapsilosis

cubital vein

phlebitis

amphotericin B, aspiration

survived

9 mo / NR

diarrhea

TPN

C. parapsilosis

cubital vein

phlebitis

amphotericin B,

incision and drainage

survived

Garcia/1997/France [19]

14 y / F

ventricular tachycardia, cardiac arrest

ICU, CVC, MAV

C. albicans

left subclavian vein, right giugula, SVC, RA

fever

amphotericin B, flucytosine, heparin,

caval thrombectomy

survived

Pacifico/2004/Italy [13]

PN / M

respiratory distress, prematurity

tri-twin pregnancy, prematurity, CVC, NICU, AB, MAV, maternal fever

C. albicans

right and main portal veins

abdominal distension

amphotericin B, fluconazole

survived

PN / M

prematurity, maternal fever

prematurity, NICU, CVC, MAV, AB

C. albicans

main portal vein

fever, abdominal distension

amphotericin B

survived

Sharma/2009/USA [14]

PN / M

prematurity, patent ductus arteriosus, respiratory distress syndrome, intestinal perforation

prematurity, AB, surgery, CVC

C. albicans

RA, IVC

NR

liposomal amphotericin B, caspofungin, heparin

died

Giuffrè/2016/Italy [15]

PN / NR

prematurity

prematurity, TPN, UVC, intestinal occlusion, MTHFR gene mutation (C677T), homozygous PAI-1 gene polymorphism (4G/4G)

C. parapsilosis

umbilical vein and left branch of the hepatic portal vein

perihepatic abscess

drainage of the collection, removal of umbilical vessels, micafungin

survived

Manish/2017/India [16]

4 y / F

diabetic ketoacidosis

ICU, MAV, CVC

C. albicans

C. tropical

right external iliac vein, common femoral, deep femoral vein

fever

fluconazole

survived

Schapkaitz/2019/Rep. of South Africa [17]

5 y/F

CF, respiratory infection, AB

CVC, AB

C. parapsilosis

endocarditis, SVC, RA

fever

amphotericin B, fluconazole

survived

present case/2020/Italy

2 y / F

respiratory infection, pneumothorax and subcutaneous emphysema

CVC, ICU, AB

C. albicans

left iliac-femoral axis

fever, edema of leg

liposomial amphotericin B, caspofungin, enoxaparin

survived

  1. CVC Central venous catheter, ICU Intensive care unit; NICU Neonatal intensive care unit, TPN total parenteral nutrition, AB Antibiotic therapy, SCV Superior vena cava, ICV Inferior vena cava, RV Right ventricle
  2. RA Right atrial, CT Chemotherapy, CF Cystic fibrosis, RSV Respiratory syncytial virus, MAV Mechanical assisted ventilation, RV Right ventricle, UVC Umbilical vein catheter, n.s. Not specified, NR Not reported, PN Preterm newborn