Recurrent Trichosporon beigelii endocarditis after aortic valve replacement.
Fungal endocarditis of the bioprosthetic heart valve, implanted in a patient without evidence of impaired immunity, is reported. Clinical manifestations of endocarditis appeared 7 years after aortic valve replacement for rheumatic disease and included embolization into the popliteal artery. Trichosporon beigelii was isolated from the cultured fragments of the embolus. Two valve replacements were performed because of recurrent infection during the following 4 years. In spite of prolonged antifungal therapy, the patient died from multiorgan septic involvement.
Miralles
A
A
Department of Cardiac Surgery, Hospital Princeps D'Espanya, Barcelona, Spain.
Quiroga
J
J
Farinola
T
T
Obi
C
C
Saura
E
E
Fontanillas
C
C
Granados
J
J
Benito
M
M
Calbet
J
J
Castells
E
E
D000328:Adult; D001021:Aortic Valve; D004696:Endocarditis / Q000209:etiology*; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D009181:Mycoses / Q000209:etiology*; D011183:Postoperative Complications; D012008:Recurrence; D014250:Trichosporon