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Native Valve Candida Endocarditis Complicating Pregnancy after Abdominal Surgery
P Saphina1, C A Mansoor2, A Jemshad2
1Department of Gynaecology, M.E.S. Medical College, Perinthalmanna, Kerala, India.
Summary
A rare case of Candida endocarditis in a pregnant patient with a prosthetic device is presented. Despite prompt treatment, the infection proved fatal, highlighting the severity of invasive fungal endocarditis.
Area of Science:
- Infectious Diseases
- Cardiology
- Mycology
Background:
- Candida endocarditis is a severe infection, often linked to prosthetic devices.
- It carries significant risks for morbidity and mortality.
Observation:
- A 28-year-old pregnant woman (32 weeks gestation) presented with fever and abdominal pain.
- She had a history of open appendicectomy two months prior.
- Echocardiogram revealed a large mass on the mitral valve with moderate regurgitation.
Findings:
- Blood cultures confirmed non-albicans Candida infection.
- The patient received liposomal amphotericin and surgical intervention was attempted.
Implications:
- This case underscores the aggressive nature of Candida endocarditis, even in young, otherwise healthy individuals.
- It highlights the challenges in managing invasive fungal infections during pregnancy.
- Prompt diagnosis and aggressive treatment are crucial for improving outcomes in Candida endocarditis.
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