Candida Right-Sided Infective Endocarditis

Right-sided infective endocarditis (RSIE) is relatively uncommon, and Candida endocarditis is also rare, with high morbidity and mortality. We report a case of Candida tricuspid valve IE in a 78-year-old man with a native valve and no history of intravenous drug use. He presented with cough, chills, and malaise, and two blood cultures were positive for Candida albicans. Transthoracic echocardiography (TTE) revealed a mobile mass on the tricuspid valve. He was treated with antifungal and antibiotic agents and discharged on day 39, but later died of aspiration pneumonia. Candida endocarditis should be considered in patients with risk factors such as prior abdominal surgery and recent antibiotic exposure. TTE is an essential diagnostic tool for patients with persistent systemic symptoms.