Scopulariopsis endocarditis associated with Duran ring valvuloplasty.

Autor: Gentry LO; Infectious Disease Section, St. Luke's Episcopal Hospital, Houston, Texas 77030, USA., Nasser MM, Kielhofner M
Jazyk: angličtina
Zdroj: Texas Heart Institute journal [Tex Heart Inst J] 1995; Vol. 22 (1), pp. 81-5.
Abstrakt: Fungal endocarditis is rare and is usually caused by Aspergillus and Candida species. We present a patient with endocarditis caused by Scopulariopsis brevicaulis. The patient had a history of mitral valve disease and, 1 year earlier, had undergone valvuloplasty with the placement of a prosthetic Duran ring in the mitral valve position. S. brevicaulis was cultured from samples of a large vegetation on the mitral valve apparatus. The mitral valve was replaced with a St. Jude mechanical prosthesis. The patient was treated with amphotericin B but was later switched to oral itraconazole when antibiotic tests indicated susceptibility to that agent. We believe this is the 1st reported case of endocarditis caused by Scopulariopsis.
Databáze: MEDLINE