| Autor: |
Freddo AM; Internal Medicine-Pediatrics Residency Program, University of Colorado, Aurora, CO, USA., Mathur S; Division of Infectious Diseases, School of Medicine, University of Colorado, Aurora, CO, USA., Dunlevy H; Division of Infectious Diseases, School of Medicine, University of Colorado, Aurora, CO, USA., Jaggers J; Department of Cardiothoracic Surgery, Children's Hospital Colorado, Aurora, CO, USA., Khanna A; Division of Cardiology, School of Medicine, University of Colorado, Aurora, CO, USA. |
| Abstrakt: |
Infective endocarditis (IE) occurs more frequently in individuals living with congenital heart disease, often with high morbidity and mortality. Although gram-positive bacterial infections commonly cause IE, prosthetic valves are a known risk factor for fungal IE. We report a case of prosthetic pulmonary valve Candida parapsilosis IE in a 58-year-old male with repaired tetralogy of Fallot. He presented with fatigue, petechiae, and hematochezia. He had severe thrombocytopenia from idiopathic/immune thrombocytopenia purpura, which resolved with steroids and immunoglobulin. Treatment with antifungals as well as a surgical pulmonary valve replacement resulted in recovery without relapse at greater than a year. |
