Aspergillus endocarditis presenting as femoral artery embolism.
Fungal valvular endocarditis is an unusual cause of endocarditis, yet very important because of its historically poor prognosis. We report two fatal cases of fungal valvular endocarditis following cardiovascular surgery, presenting as femoral artery embolism. Aspergillus terreus and A. flavus were the causative agents of endocarditis in the two patients. Diagnosis was established very early by culture of the emboli and was confirmed later by isolation of the same Aspergillus species from the resected valve tissue.
Verghese
S
S
Institute of Cardiovascular Diseases, Madras Medical Mission, 4-A, JJ Nagar, Mogappair Chennai, India. pav@xlweb.com
Maria
C F
CF
Mullaseri
A S
AS
Asha
M
M
Padmaja
P
P
Padhye
A A
AA
D000935:Antifungal Agents / Q000627:therapeutic use; D001228:Aspergillosis / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D001231:Aspergillus flavus; D004617:Embolism / Q000209:etiology* / Q000382:microbiology; D004696:Endocarditis / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D005263:Femoral Artery / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000473:pathology
D000935:Antifungal Agents