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Native aortic valve fungal endocarditis

Shyam Chand Chaudhary1, Kamal Kumar Sawlani, Rahul Arora

  • 1Department of Medicine, KG Medical University (Erstwhile CSMMU), Lucknow, Uttar Pradesh, India. drshyamchandchaudhary@rediffmail.com

BMJ Case Reports
|February 23, 2013
PubMed

Insights

Fungal endocarditis, a rare but serious infection, can be challenging to diagnose. This case highlights successful treatment of native valve fungal endocarditis with voriconazole.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Mycology

Background:

  • Infective endocarditis is a significant cause of endovascular infection.
  • Fungal endocarditis, particularly affecting native valves, is uncommon.
  • Candida albicans accounts for approximately 25% of fungal endocarditis cases.

Observation:

  • Diagnosis is often difficult due to sterile blood cultures.
  • Echocardiograms may not initially detect vegetations.
  • Patients frequently present with non-specific symptoms.

Findings:

  • This report details a successful treatment of native valve fungal endocarditis.
  • Voriconazole was the effective antifungal agent used in this case.

Implications:

  • This case underscores the importance of considering fungal endocarditis in complex cases.
  • Successful treatment with voriconazole offers a therapeutic option for this rare condition.
  • Improved diagnostic strategies for fungal endocarditis are warranted.

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