title: Recurrent Trichosporon beigelii endocarditis after aortic valve replacement.
abstract: 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.
authors.affiliation: Department of Cardiac Surgery, Hospital Princeps D'Espanya, Barcelona, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Miralles
authors.forename: J
authors.initials: J
authors.lastname: Quiroga
authors.forename: T
authors.initials: T
authors.lastname: Farinola
authors.forename: C
authors.initials: C
authors.lastname: Obi
authors.forename: E
authors.initials: E
authors.lastname: Saura
authors.forename: C
authors.initials: C
authors.lastname: Fontanillas
authors.forename: J
authors.initials: J
authors.lastname: Granados
authors.forename: M
authors.initials: M
authors.lastname: Benito
authors.forename: J
authors.initials: J
authors.lastname: Calbet
authors.forename: E
authors.initials: E
authors.lastname: Castells
mesh_terms: 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