Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ahvaz Jundishapur University of Medical Sciences

Fungal Prosthetic Valve Endocarditis by Candida parapsilosis: A Case Report

Shokohi, Tahereh and Nouraei, Seyed Mahmood and Afsarian, Mohammad Hosein and Najafi, Narges and Mehdipour, Shirin (2014) Fungal Prosthetic Valve Endocarditis by Candida parapsilosis: A Case Report. Jundishapur Journal of Microbiology, 7 (3). pp. 1-3. ISSN 2008-4161

jjm-7-3-e9428.pdf - Published Version

Download (52kB) | Preview


Introduction: Fungal prosthetic valve endocarditis (PVE) is rare but serious complication of valve replacement surgery. Candida species, particularly Candida albicans is the most common isolated pathogen in fungal PVE (1–6%of cases). Case Presentation: We describe a 35-year-old woman who underwent mechanical mitral valve replacement about 3 years ago. She was admitted with neurological symptoms and later with dyspnea and hypotension. Transesophageal echocardiography showed large and mobile prosthetic valve vegetation. She underwent mitral valve surgery. The explanted valve and vegetation revealed lots of budding yeasts and the isolated yeast was identified as C. parapsilosis. Amphotericin B and broad spectrum antibiotic were started immediately. Unfortunately, the patient died two days after surgery, due to sepsis probably related to the candidemia. Conclusions: Fungal endocarditis is uncommon infection, but it is a serious problem in patients with prosthetic valve. Fungal PVE can occur years after the surgery, thus long-term follow-up is essential.

Item Type: Article
Keywords: Candida; Fungi; Endocarditis; Prosthetic valve
Subjects: R Medicine > R Medicine (General)
Depositing User: آقای بهرام سوسنی غریب وند
Date Deposited: 01 Jun 2015 08:54
Last Modified: 10 Feb 2016 06:27

Actions (login required)

View Item View Item