title: Atypical early Aspergillus endocarditis post prosthetic mitral valve repair: a case report.
abstract: A 64-year-old female operated 1 month previous for mitral valve repair presented with acute respiratory distress and dyspnea. Echocardiography showed large echogenic valvular mass measuring 2.3 × 1.3 cm with severe mitral regurgitation and dehiscence of the mitral ring posteriorly. The mass was attached subvalvularly to the ventricular septal-free wall and eroding through it, which required complete aggressive dissection of the infected tissues. Diagnosis was confirmed after resection of the valve by multiple negative blood cultures and positive valvular tissue for Aspergillus fumigatus endocarditis. She was treated with high dose of voriconazole for 3 months. Her postoperative period was complicated by acute-on-chronic renal failure. She responded very well to the management.
authors.affiliation: Department of Cardiovascular Surgery, Mohammed bin Khalifa Cardiac Centre, Bahrain Defence Force Hospital, Al-Riffa, Bahrain.
authors.forename: Ahmed AbdulAziz
authors.initials: AA
authors.lastname: Abuzaid
authors.affiliation: Department of Intensivest of cardiac anesthesia, Mohammed bin Khalifa Cardiac Centre, Bahrain Defence Force Hospital, Al-Riffa, Bahrain.
authors.forename: Mahmood
authors.initials: M
authors.lastname: Zaki
authors.affiliation: Department of Cardiovascular Surgery, Mohammed bin Khalifa Cardiac Centre, Bahrain Defence Force Hospital, Al-Riffa, Bahrain.
authors.forename: Habib
authors.initials: H
authors.lastname: Tarif
keywords: Aspergillus endocarditis; Aspergillus fumigates; prosthetic valve endocarditis
references.citation: J Hosp Infect. 1990 Apr;15(3):245-53
references.pmid: 1971631
references.citation: N Engl J Med. 1996 Aug 8;335(6):407-16
references.pmid: 8676934
references.citation: Interact Cardiovasc Thorac Surg. 2012 Jun;14(6):894-6
references.pmid: 22374293
references.citation: Clin Infect Dis. 2001 Jan;32(1):50-62
references.pmid: 11118386
references.citation: Infection. 1992 Jan-Feb;20(1):45-7
references.pmid: 1563813
references.citation: Eur Heart J. 1995 Apr;16 Suppl B:84-9
references.pmid: 7671932
references.citation: Ann Thorac Surg. 2005 Jul;80(1):359-64
references.pmid: 15975413
references.citation: Am J Med. 1985 Dec;79(6):777-80
references.pmid: 3934969
references.citation: Am Heart J. 1966 Mar;71(3):393-407
references.pmid: 5324296
references.citation: Chest. 2002 Jul;122(1):302-10
references.pmid: 12114375
references.citation: J Thorac Cardiovasc Surg. 1964 Oct;48:652-60
references.pmid: 14213522
references.citation: Eur J Cardiothorac Surg. 1993;7(1):50-1
references.pmid: 8431305