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Published on: January 27, 2015
Candida albicans Pacemaker Lead Endocarditis: A Case Report
Siham Karrati1, Ibtissam Mhirig1, Mahjouba Baiya1
1Biology Department/Parasitology-Mycology Laboratory, Mohammed VI University Hospital/Faculty of Medicine and Pharmacy-Cadi Ayyad University, Marrakech, MAR.
Abstract:
Fungal endocarditis (FE) is a rare yet potentially life-threatening complication of permanent cardiac pacing, most commonly caused by species of the genera Candida and Aspergillus. The diagnosis is challenging, as the clinical presentation of FE is usually nonspecific and insidious. A high level of clinical suspicion is required, particularly in patients with implantable pacemakers presenting with unexplained fever. Early diagnosis is crucial for effective and prompt management, which generally relies on a combined medical and surgical approach. We report a case of fungal pacemaker lead endocarditis caused by Candida albicans in a 68-year-old man, which was successfully treated with a multidisciplinary approach combining surgical explantation and antifungal therapy.
Insights
Fungal endocarditis, a rare complication of pacemakers, demands high suspicion for early diagnosis. This case highlights successful multidisciplinary treatment involving surgical removal and antifungal medication for Candida albicans infection.
Area of Science:
- Cardiology
- Infectious Diseases
- Medical Device Complications
Background:
- Fungal endocarditis (FE) is a rare but serious complication associated with permanent cardiac pacing.
- Commonly caused by Candida and Aspergillus species, FE presents insidiously with nonspecific symptoms.
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