Diagnostic challenges in native valve fungal endocarditis producing a massive septic pulmonary embolus.
Diagnosis and treatment of Candida albicans endocarditis can be difficult. We report a case of this rare condition in which a patient on oral fluconazole presented with septic pulmonary emboli without initial echocardiographic evidence of vegetation. Rapid attainment of a tissue diagnosis, along with combined medical surgical treatment proved to be effective for this patient.
University of California, Davis, School of Medicine, USA.
Darren
D
Salmi
Aarti
A
Bhat
Larry
L
Corman
Gary
G
Raff
Noriko
N
Satake
D000293:Adolescent; D000935:Antifungal Agents / Q000008:administration & dosage; D001706:Biopsy; D002177:Candidiasis / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D013504:Cardiovascular Surgical Procedures; D003131:Combined Modality Therapy; D054714:Echinocandins / Q000008:administration & dosage; D004696:Endocarditis / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D006801:Humans; D055666:Lipopeptides / Q000008:administration & dosage; D000077551:Micafungin; D011651:Pulmonary Artery / Q000601:surgery; D011655:Pulmonary Embolism / Q000209:etiology* / Q000628:therapy; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000601:surgery
D000935:Antifungal Agents; D054714:Echinocandins; D055666:Lipopeptides; D000077551:Micafungin