Phialemonium curvatum prosthetic valve endocarditis with an unusual echocardiographic presentation.
Phialemonium species, an opportunistic fungal pathogen rarely causes invasive disease, have been described as opportunistic infection agents in humans, mainly as a result of immunosuppression and very rarely involves the heart. We present a case of a patient with Phialemonium curvatum prosthetic aortic valve endocarditis with an unusual initial transesophageal echocardiography (TEE) presentation, illustrating the important role of repeat TEE for the proper diagnosis and management of infective endocarditis.
Osherov
Azriel
A
Heart Institute, Sheba Medical Center, Tel Hashomer, Israel, and Sackler School of Medicine, Tel Aviv University, Israel. uziosh101@hotmail.com
Schwammenthal
Ehud
E
Kuperstein
Raphael
R
Strahilevitz
Jacob
J
Feinberg
Micha S
MS
D000369:Aged, 80 and over; D001203:Ascomycota / Q000302:isolation & purification*; D003937:Diagnosis, Differential; D004452:Echocardiography; D004696:Endocarditis / Q000000981:diagnostic imaging* / Q000382:microbiology*; D017809:Fatal Outcome; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging* / Q000382:microbiology*; D006801:Humans; D008297:Male; D009894:Opportunistic Infections / Q000000981:diagnostic imaging*; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging*