Fungal prosthetic aortic valve endocarditis and endarteritis: An unusual cause of aortic root vegetations.

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Fungal prosthetic aortic valve endocarditis and endarteritis: An unusual cause of aortic root vegetations.

Echocardiography. 2019 02;36(2):401-405

Authors: Carneiro H, Rasalingam R

Abstract
Fungal endocarditis is a relatively rare occurrence with high morbidity and mortality. Patients may have an indolent and non-specific course requiring a high index of suspicion to make a diagnosis. Here, we present the case of a 33-year-old patient who presented with fevers and acute lower limb ischemia requiring a 4-compartment fasciotomy caused by septic emboli from Candida albicans endocarditis. The patient had a large vegetation in the ascending aorta associated with a mycotic aneurysm, which is an exceedingly rare location for a vegetation. We also review the literature and summarize the typical echocardiographic appearance and vegetation locations in fungal endocarditis.

PMID: 30592783 [PubMed - indexed for MEDLINE]