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Published on: November 6, 2020
Candida endocarditis: contemporary cases from the International Collaboration of Infectious Endocarditis Merged
Daniel K Benjamin1, Jose M Miro, Bruno Hoen
1Department of Pediatrics, Duke University, Durham, NC, USA. danny.benjamin@duke.edu
Abstract:
Candida infective endocarditis (IE) is increasingly common, yet most reports have been single-center reviews. We evaluated 16 patients with Candida IE nested within a cohort of 2,022 patients with IE. Prosthetic valve IE was more common in patients with Candida (50% vs 17%); mortality was 37% for patients with Candida.
Insights
Candida infective endocarditis (IE) is a growing concern, often affecting prosthetic valves. This study found a 37% mortality rate in patients with Candida IE, highlighting the need for further research.
Area of Science:
- Infectious Diseases
- Cardiology
- Mycology
Background:
- Candida infective endocarditis (IE) is an emerging clinical challenge.
- Most available data on Candida IE comes from single-center reviews.
- The incidence and outcomes of Candida IE require further investigation.
Purpose of the Study:
- To evaluate the characteristics and outcomes of patients with Candida IE.
- To compare Candida IE with other forms of IE within a larger cohort.
- To determine the mortality associated with Candida IE.
Main Methods:
- Retrospective analysis of a cohort of 2,022 patients with IE.
- Identification and evaluation of 16 patients diagnosed with Candida IE.
- Comparison of demographic and clinical features between Candida IE and non-Candida IE groups.
Main Results:
- Candida IE occurred in 16 patients within a cohort of 2,022 IE patients.
- Prosthetic valve involvement was significantly more common in Candida IE (50%) compared to non-Candida IE (17%).
- The overall mortality rate for patients with Candida IE was 37%.
Conclusions:
- Candida IE is associated with a high mortality rate.
- Prosthetic valves are a significant risk factor for Candida IE.
- Further multicenter studies are warranted to better understand and manage Candida IE.
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