title: [Fungal endocarditis with central and peripheral embolization: case report].
abstract: A 50-year-old man with a history of drug addiction was admitted to the cardiology department for aortic valve fungal endocarditis complicated by severe aortic regurgitation, cerebral infarcts and right common iliac artery pseudoaneurysm. While awaiting transfer to the cardiothoracic surgery department, the patient presented acute arterial ischemia of the left leg, and distal left patellofemoral embolectomy was successfully performed. The patient was then transferred to the cardiothoracic center and the aortic valve was replaced by a bioprosthetic valve. After fourteen days he was referred for vascular surgery, where the four-month hospitalization was complicated by left leg amputation. Four months after discharge, the patient was admitted to the emergency department for recurrent fungal endocarditis complicated by multiple renal and splenic infarcts and celiac trunk embolization. He was transferred to the cardiothoracic surgery department, but suffered cardiac arrest before surgical intervention.
authors.affiliation: Serviço de Cardiologia, Hospital de Braga, Braga, Portugal. silviamartinsribeiro@gmail.com
authors.forename: Sílvia
authors.initials: S
authors.lastname: Ribeiro
authors.forename: António
authors.initials: A
authors.lastname: Gaspar
authors.forename: António
authors.initials: A
authors.lastname: Assunção
authors.forename: José Pinheiro
authors.initials: JP
authors.lastname: Torres
authors.forename: Pedro
authors.initials: P
authors.lastname: Azevedo
authors.forename: Luís
authors.initials: L
authors.lastname: Basto
authors.forename: Paulo
authors.initials: P
authors.lastname: Pinho
authors.forename: Adelino
authors.initials: A
authors.lastname: Correia
mesh_terms: D004617:Embolism / Q000209:etiology*; D004696:Endocarditis / Q000150:complications* / Q000382:microbiology*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D009181:Mycoses / Q000150:complications*