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A Periprosthetic Joint Candida albicans Infection Model in Mouse
Published on: February 2, 2024
Prosthetic valve endocarditis due to Candida albicans treated successfully with medical treatment alone
Manabu Noguchi1, Hideaki Takai, Kiyoyuki Eishi
1Department of Cardiovascular Surgery, Nagasaki Municipal Medical Center, Nagasaki, Japan.
Abstract:
Prosthetic valve endocarditis (PVE) caused by Candida species is associated with high morbidity and mortality. A combination of surgical resection and antifungal drug therapy is the golden standard for treatment, yet surgical intervention is not possible in all cases of Candida PVE. We report a case of PVE due to Candida albicans cured by medical treatment alone. This case suggests that, in some instances, Candida PVE can be managed medically with antifungal therapy. Such a conservative approach should be applied with caution and necessitates very close follow-up on a long-term basis.
Insights
Prosthetic valve endocarditis (PVE) from Candida species poses risks. This case shows Candida PVE can be medically cured with antifungal therapy alone, avoiding surgery.
Area of Science:
- Cardiology
- Infectious Diseases
- Medical Mycology
Background:
- Prosthetic valve endocarditis (PVE) caused by Candida species presents significant morbidity and mortality.
- Current standard treatment involves surgical valve replacement combined with antifungal therapy.
- Surgical intervention is not feasible for all patients with Candida PVE.
Observation:
- A case of PVE caused by Candida albicans was successfully treated with medical management only.
- The patient received antifungal drug therapy without surgical resection.
Findings:
- Complete resolution of Candida PVE was achieved through antifungal therapy alone.
- This outcome challenges the necessity of surgery in all Candida PVE cases.
Implications:
- Medical management with antifungal therapy may be a viable alternative for select Candida PVE patients.
- A conservative approach requires careful patient selection and intensive long-term monitoring.
- Further research is warranted to define criteria for medical management of Candida PVE.
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