Culture-negative fungal endocarditis
Autor: | Ashutosh Biswas, Parul Kodan, J Kirtana, Yogiraj Ray, Rohit Kumar, Prabhat Kumar |
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Rok vydání: | 2019 |
Předmět: |
Aortic valve
medicine.medical_specialty business.industry medicine.medical_treatment biomarkers Fungal endocarditis medicine.disease chemistry.chemical_compound medicine.anatomical_structure chemistry RC666-701 Internal medicine Diabetes mellitus endocarditis medicine Diseases of the circulatory (Cardiovascular) system Endocarditis In patient caspofungin Caspofungin Culture negative business Cardiac catheterization |
Zdroj: | Heart and Mind, Vol 3, Iss 1, Pp 27-30 (2019) |
ISSN: | 2468-6476 |
Popis: | A 54-year-old female, known case of hypertension and diabetes mellitus (controlled), was admitted with prolonged fever for 1½ months. On evaluation, fever workup was inconclusive and multiple cultures were negative. On re-assessment of history, she gave a history of cardiac catheterization 1 month back. Further evaluation revealed aortic valve vegetation on two-dimensional echo with raised beta-D glucan levels. She was managed with antifungal therapy followed by valve replacement surgery. The patient improved following the management and is doing fine. This case highlights the importance of detailed history-taking and evaluation. It also highlights the not uncommon occurrence of fungal endocarditis in patients with healthcare contact and the role of biomarkers as surrogate in case of culture-negative endocarditis. |
Databáze: | OpenAIRE |
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