Invasive fungal infection is a known cause of morbidity and mortality in the neonates especially in immunocompromised children. Demonstration of organisms by culture remains the gold standard for mycological diagnosis.

Case report

A neonate delivered at 34 weeks of gestation with a birth weight of 1800g was admitted to a premature baby unit with breathing difficulty on day 05 after delivery. On examination, the child was febrile and had tachyarrhythmia. Blood culture showed a mixed growth of organisms and the echocardiogram was suggestive of a cardiac tumor. The condition of the neonate deteriorated in spite of treatment with antibiotics and supportive therapy and the child died 20 days after admission. At autopsy, a large vegetation was found on the tricuspid valve.