[Endocarditis due to Candida albicans with peripheral arterial embolism and a cerebral mycotic aneurysm in an IV drug addict].
Endocarditis due to Candida albicans (EC) is a rare cause of endocarditis in IV drug addicts (IVDA). Its diagnostic is usually difficult and high peripheral embolization is characteristic, and could affect big vessels. The case of a female patients (IVDA) 21 years old is discussed, who showed bilateral iliofemoral embolism and cerebral hemorrhage due to mycotic aneurysm breakage in a EC. These two complications appeared during an EC episode are exceptional. We insist in the importance of the echographic images in the suspicion diagnosis of EC.
Hernández Hernández
J A
JA
Servei de Medicina Interna, Hospital Sant Jaume, Calella, Barcelona.
González-Moreno Portugal
M
M
Casan Cava
J M
JM
Aloy Duch
A
A
Llibre Codina
J M
JM
Capdevilla Morell
J A
JA
D000328:Adult; D000785:Aneurysm, Infected / Q000175:diagnosis / Q000209:etiology*; D017542:Aneurysm, Ruptured / Q000150:complications / Q000175:diagnosis / Q000209:etiology; D002177:Candidiasis / Q000150:complications* / Q000175:diagnosis; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000209:etiology; D004617:Embolism / Q000175:diagnosis / Q000209:etiology*; D004696:Endocarditis / Q000209:etiology*; D005260:Female; D005263:Femoral Artery; D006679:HIV Seropositivity / Q000150:complications; D015497:HIV-1 / Q000276:immunology; D006801:Humans; D007083:Iliac Artery; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000209:etiology*; D015819:Substance Abuse, Intravenous / Q000150:complications*
Endocarditis por Candida albicans con embolismo arterial periférico y aneurisma micótico cerebral en adicto a drogas por vía parenteral.