Candida Dubliniensis Tricuspid Valve Endocarditis

Infective endocarditis is a common complication in patients using intravenous drugs. Fungal endocarditis is a rare clinical entity and diagnosis are often delayed. Only a few cases of candida dubliniensis have been reported in the literature so far. These cases usually present in patients with a history of intravenous drug abuse. If a patient with valvular endocarditis continues to have fever despite antibiotics, then fungal infection should be suspected. Fungal endocarditis is usually treated surgically along with a prolonged course of antifungal treatment. We report an interesting case of a young female who initially presented with fever and chills and was subsequently found to have a significantly large tricuspid mass. Upon further study it was found to be of fungal origin which was later confirmed by biopsy cultures.