Huge Candida albicans normal native tricuspid valve endocarditis

Massimiliano Guerriero1, Francesco Colasurdo2, Anna Maria Pollio1

  • 1Antonio Cardarelli Regional Hospital, Regional Health Authority of Molise (ASReM), Department of Pathology. Campobasso, CB, Italy .

Insights

Prolonged antibiotic use, immobility, and central venous catheters may increase the risk of developing severe Candida native valve infective endocarditis (CIE). This case highlights potential risk factors for this rare fungal infection.

Area of Science:

  • Infectious Diseases
  • Cardiology
  • Mycology

Background:

  • Fungal endocarditis, particularly Candida spp., is a rare but significant complication in modern medicine.
  • Medical advancements and lifestyle factors contribute to the rise of such infections.

Observation:

  • A case of a young, bedridden quadriplegic woman with recurrent pneumonia treated with antibiotics.
  • Autopsy revealed severe Candida native valve infective endocarditis (CIE).

Findings:

  • Prolonged antibiotic therapy was identified as a potential risk factor for CIE development.
  • Immobility and central venous catheter use were considered additional contributing factors.
  • Absence of peripheral embolization was noted in this right-sided heart endocarditis case.

Implications:

  • Highlights the importance of considering fungal endocarditis in susceptible patients.
  • Suggests careful monitoring and risk assessment in patients with prolonged antibiotic use and immobility.
  • Informs clinical practice regarding potential complications in immunocompromised or critically ill patients.

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