An unusual native tricuspid valve endocarditis caused by Candida colliculosa
| Autor: | I. Kaygusuz, Ahmet Oktay, Lutfiye Mulazimoglu, Volkan Korten, A. Toprak, Nilgun Cerikcioglu |
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| Přispěvatelé: | Kaygusuz, I, Mulazimoglu, L, Cerikcioglu, N, Toprak, A, Oktay, A, Korten, V |
| Rok vydání: | 2003 |
| Předmět: |
Male
Microbiology (medical) medicine.medical_specialty Heart disease fungal endocarditis Biology native-valve endocarditis Amphotericin B medicine Humans Endocarditis Fever of unknown origin Fluconazole Candida spp Mycosis Aged Candida Native Valve Endocarditis Tricuspid valve YEASTS Candidiasis General Medicine medicine.disease Surgery Infectious Diseases medicine.anatomical_structure Tricuspid Valve medicine.drug |
| Zdroj: | Clinical Microbiology and Infection. 9:319-322 |
| ISSN: | 1198-743X |
| DOI: | 10.1046/j.1469-0691.2003.00511.x |
| Popis: | Candida colliculosa , which grew in blood cultures of a 71-year-old retired man with fever of unknown origin that had lasted for 7 months, in conjunction with transthoracic echocardiography, demonstrating a 20-mm vegetation, superior to the tricuspid valve, herniating into the right atrial cavity. The finding led to the diagnosis of fungal endocarditis. Fluconazole, 600 mg daily, was commenced for 8 days; followed by amphotericin B, 1 mg/kg daily. On the fourth day of the amphotericin B treatment, the patient underwent replacement of the infected tricuspid valve. Even though the initial postoperative period was relatively uncomplicated, the patient died after a gross aspiration on the 67th day of his hospital stay, despite aggressive cardiovascular support and antimicrobial therapy. This is the first report of a native tricuspid valve fungal endocarditis due to C. colliculosa or Torulaspora delbrueckii , which is not known to be a human pathogen. |
| Databáze: | OpenAIRE |
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