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Updated: Oct 3, 2026

Bio-energetics Investigation of Candida albicans Using Real-time Extracellular Flux Analysis
Published on: March 19, 2019
[Candida endocarditis in non-addict patients: a disease with high mortality. A clinico-pathological study of 3 cases]
1División de Enfermedades Infecciosas (Departamento de Medicina), Fundación Jiménez Díaz, Universidad Autónoma de Madrid.
Abstract:
Candida endocarditis is a rare infection which occurs under particular epidemiological circumstances, such a drug addiction, immunosuppression, prolonged intravenous therapy and valvular replacement surgery. Diagnosis requires a high suspicious index and is based on the demonstration of the organism in cardiac vegetations, peripheral embolisms or in positive blood-cultures; also when valvular insufficiency murmurs, embolic phenomena and echocardiogram-proved vegetations are present. In spite of antifungal therapy and valvular replacement, the mortality rate in Candida endocarditis is still higher than 80%. Three new cases of the entity are here reported stressing the diagnostic and therapeutical difficulties.
Insights
Candida endocarditis is a rare but serious fungal infection often seen in individuals with specific risk factors. Despite treatment, this condition has a very high mortality rate, highlighting diagnostic and therapeutic challenges.
Area of Science:
- Infectious Diseases
- Cardiology
- Mycology
Background:
- Candida endocarditis is a rare fungal infection linked to specific risk factors like intravenous drug use, immunosuppression, and cardiac surgery.
- Diagnosis relies on clinical suspicion, positive blood cultures, echocardiogram findings, and evidence of the organism in vegetations or emboli.
Observation:
- The study reports three new cases of Candida endocarditis, emphasizing the diagnostic and therapeutic complexities associated with this condition.
- Key diagnostic indicators include valvular insufficiency murmurs, embolic events, and echocardiogram-confirmed vegetations.
Findings:
- Candida endocarditis presents significant diagnostic challenges, requiring a high index of suspicion.
- Despite current antifungal treatments and surgical interventions like valvular replacement, the mortality rate for Candida endocarditis remains exceedingly high, exceeding 80%.
Implications:
- The high mortality underscores the need for improved diagnostic strategies and more effective therapeutic approaches for Candida endocarditis.
- Further research into early detection and novel treatment modalities is crucial for improving patient outcomes in cases of invasive fungal endocarditis.
Related Concept Videos
Endocarditis I: Introduction
Endocarditis II: Clinical Features of Infective Endocarditis
Endocarditis III: Medical Management
Endocarditis IV: Nursing Management
Cryptococcal Meningitis
Candidiasis

