Candida endocarditis complicating glucose total intravenous nutrition.
A case of Candida albicans endocarditis is reported. The endocarditis occurred in a patient with a chronic illness who received intermittent glucose total intravenous nutrition for approximately 10 weeks. The patient developed severe aortic insufficiency with his valvular endocarditis and required emergency aortic valve replacement. Aggressive surgery and medical treatment appear to be the treatment of choice for these critically ill patients.
D000284:Administration, Oral; D000666:Amphotericin B / Q000008:administration & dosage / Q000627:therapeutic use; D001021:Aortic Valve; D001022:Aortic Valve Insufficiency / Q000209:etiology / Q000601:surgery; D002176:Candida albicans / Q000302:isolation & purification; D002177:Candidiasis / Q000150:complications* / Q000188:drug therapy; D004696:Endocarditis / Q000150:complications / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D005947:Glucose / Q000008:administration & dosage*; D006350:Heart Valve Prosthesis; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D010288:Parenteral Nutrition / Q000009:adverse effects*; D012996:Solutions; D007507:Therapeutic Irrigation; D013927:Thrombosis / Q000382:microbiology
D012996:Solutions; D000666:Amphotericin B; D005947:Glucose