title: Isolated native tricuspid valve Candida endocarditis in a non-drug-addicted patient: case report and review of the literature.
abstract: A case is reported of isolated native tricuspid calve Candida parapsilosis endocarditis (INTVCE) in a male patient with no history of drug abuse or heart disease. The patient had received hyperalimentation and antibiotics for four months via a central venous catheter after abdominal surgery. He underwent successful treatment with tricuspid valve debridement, liposomal amphotericin (AmBisome) and fluconazole, and remained without relapse during an eight-year follow up. A literature review of 12 similar cases (including the present patient) without history of drug abuse or heart disease, dating from 1970, is included.
authors.affiliation: Department of Cardiology, Medical School, University of Athens, Hippocration Hospital, Athens, Greece.
authors.forename: Andreas
authors.initials: A
authors.lastname: Kaloterakis
authors.forename: Ioannis
authors.initials: I
authors.lastname: Rizos
authors.forename: Georgios
authors.initials: G
authors.lastname: Goumas
authors.forename: Anna
authors.initials: A
authors.lastname: Filiotou
authors.forename: John
authors.initials: J
authors.lastname: Barbetseas
authors.forename: Sotiris
authors.initials: S
authors.lastname: Papathanasiou
authors.forename: Pavlos
authors.initials: P
authors.lastname: Toutouzas
mesh_terms: D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D002177:Candidiasis / Q000382:microbiology* / Q000628:therapy; D003646:Debridement; D004452:Echocardiography; D004696:Endocarditis / Q000382:microbiology* / Q000628:therapy; D015725:Fluconazole / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D010289:Parenteral Nutrition, Total; D019966:Substance-Related Disorders; D014057:Tomography, X-Ray Computed; D014261:Tricuspid Valve / Q000000981:diagnostic imaging / Q000382:microbiology*
chemical_list: D000935:Antifungal Agents; D000666:Amphotericin B; D015725:Fluconazole