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Native aortic valve vegetative endocarditis with Cunninghamella.

Nehal Nikhilesh Mehta1, Jeanine Romanelli, Martin Graham St John Sutton

  • 1Hospital of the University of Pennsylvania, 3400 Spruce Street, 9 Gates Pavilion, Philadelphia, PA 19103, USA.

European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology
|March 24, 2004
PubMed
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Cunninghamella bertholletiae, a rare Mucor species, can cause native aortic valve endocarditis in immunocompromised patients. This case highlights a rare fungal infection diagnosed during surgery, unlike previous post-mortem findings.

Area of Science:

  • Mycology
  • Infectious Diseases
  • Cardiology

Background:

  • Cunninghamella bertholletiae is a rare Mucor species.
  • Endocarditis is inflammation of the heart's inner lining, often affecting heart valves.
  • Native valve endocarditis is less common than prosthetic valve endocarditis.

Observation:

  • This report details a rare case of Cunninghamella endocarditis affecting a native aortic valve.
  • The patient was immunocompromised, a known risk factor for invasive fungal infections.
  • Diagnosis was achieved through tissue culture during surgical intervention.

Findings:

  • This is one of the few reported cases of native valve endocarditis caused by a Mucor species.
  • Unlike previous reports where diagnosis was post-mortem, this case allowed for intraoperative diagnosis.

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  • Cunninghamella endocarditis is a rare but potentially fatal condition.

    • Implications:

    • Early diagnosis and surgical intervention are crucial for managing Cunninghamella endocarditis.
    • Awareness of rare fungal pathogens like Cunninghamella is important in immunocompromised patients.
    • This case contributes to the limited literature on native valve endocarditis caused by Mucor species.