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
Online AccessGet full text
ISSN0742-2822
1540-8175
1540-8175
DOI10.1111/echo.14233

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Abstract 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.
AbstractList 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.
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.
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.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.
Author Rasalingam, Ravi
Carneiro, Herman
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echocardiogram
nonvalvular
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Snippet Fungal endocarditis is a relatively rare occurrence with high morbidity and mortality. Patients may have an indolent and non‐specific course requiring a high...
Fungal endocarditis is a relatively rare occurrence with high morbidity and mortality. Patients may have an indolent and non-specific course requiring a high...
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SubjectTerms aorta
Candida
echocardiogram
endocarditis
nonvalvular
Title Fungal prosthetic aortic valve endocarditis and endarteritis: An unusual cause of aortic root vegetations
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fecho.14233
https://www.ncbi.nlm.nih.gov/pubmed/30592783
https://www.proquest.com/docview/2161702402
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