title: Two-stage operation for isolated pulmonary valve infectious endocarditis with Candida parapsilosis.
abstract: We report a case of isolated pulmonary infectious endocarditis (IE) with Candida parapsilosis. A 66-year-old man presented with fever and cough. Echocardiography showed severe pulmonary regurgitation and vegetations on the pulmonary valves. Initially, antibiotics were prescribed against bacterial IE, and the vegetations disappeared; however, the pulmonary vegetations relapsed, and C. parapsilosis was grown from blood cultures. We performed a debridement without a pulmonary valve replacement. There was no recurrence of IE for 3 years, and then the patient developed right ventricular enlargement and severe tricuspid regurgitation due to severe pulmonary regurgitation. Pulmonary valve replacement was performed. Now the patient is free from infection.
authors: Division of Cardiovascular Surgery, Nagoya Ekisaikai Hospital, Nagoya, Japan. ballade_appassionata_arzt@yahoo.co.jp
authors: Wataru
authors: W
authors: Uchida
authors: Yuichi
authors: Y
authors: Hirate
authors: Hideki
authors: H
authors: Ito
authors: Osamu
authors: O
authors: Kawaguchi
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002177:Candidiasis / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D003646:Debridement; D004696:Endocarditis / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D011664:Pulmonary Valve / Q000382:microbiology / Q000601:surgery*; D011665:Pulmonary Valve Insufficiency / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents
keywords: Endocarditis; Fungi; Pulmonary valve; Reoperation
references: Ann Thorac Surg. 2010 Oct;90(4):1295-300
references: 20868832
references: Ann Thorac Surg. 2008 May;85(5):1712-8; discussion 1718
references: 18442571
references: Eur J Cardiothorac Surg. 2007 Jul;32(1):118-25
references: 17412606
references: Eur J Clin Microbiol Infect Dis. 2008 Jul;27(7):519-29
references: 18283504
references: Interact Cardiovasc Thorac Surg. 2008 May;7(3):513-4
references: 18296475