Fungal prosthetic aortic valve endocarditis and endarteritis: An unusual cause of aortic root vegetations

Fungal endocarditis is a relatively rare occurrence with high morbidity and mortality. Patients may have an indolent and non‐specific course requiring a high index of suspicion to make a diagnosis. Here, we present the case of a 33‐year‐old patient who presented with fevers and acute lower limb isch...

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Published inEchocardiography (Mount Kisco, N.Y.) Vol. 36; no. 2; pp. 401 - 405
Main Authors Carneiro, Herman, Rasalingam, Ravi
Format Journal Article
LanguageEnglish
Published United States 01.02.2019
Subjects
aorta
Candida
echocardiogram
endocarditis
nonvalvular
aorta
endocarditis
Candida
echocardiogram
nonvalvular
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ISSN0742-2822
1540-8175
1540-8175
DOI10.1111/echo.14233

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Summary:Fungal endocarditis is a relatively rare occurrence with high morbidity and mortality. Patients may have an indolent and non‐specific course requiring a high index of suspicion to make a diagnosis. Here, we present the case of a 33‐year‐old patient who presented with fevers and acute lower limb ischemia requiring a 4‐compartment fasciotomy caused by septic emboli from Candida albicans endocarditis. The patient had a large vegetation in the ascending aorta associated with a mycotic aneurysm, which is an exceedingly rare location for a vegetation. We also review the literature and summarize the typical echocardiographic appearance and vegetation locations in fungal endocarditis.
Bibliography:ObjectType-Case Study-2
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ISSN:0742-2822
1540-8175
1540-8175
DOI:10.1111/echo.14233