Isolated native tricuspid valve Candida endocarditis in a non-drug-addicted patient: case report and review of the literature.
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.
Kaloterakis
Andreas
A
Department of Cardiology, Medical School, University of Athens, Hippocration Hospital, Athens, Greece.
Rizos
Ioannis
I
Goumas
Georgios
G
Filiotou
Anna
A
Barbetseas
John
J
Papathanasiou
Sotiris
S
Toutouzas
Pavlos
P
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*
D000935:Antifungal Agents; D000666:Amphotericin B; D015725:Fluconazole