Fungal Pacemaker Endocarditis Caused by Candida albicans: An Unusual Case

Fungal pacemaker endocarditis (FPE) is a rare but potentially fatal infection that can occur in patients with implanted cardiac devices. Diagnosing FPE can be difficult due to its subtle and non-specific symptoms, which often necessitate heightened clinical awareness to identify. Management typically involves removal of the infected device combined with antifungal therapy. We describe a 79-year-old female patient who developed Candida albicans endocarditis involving a pacemaker lead, successfully managed through coordinated surgical extraction of the device and systemic antifungal therapy.