Fungal prosthetic aortic valve endocarditis and endarteritis: An unusual cause of aortic root vegetations. Issue 2 (28th December 2018)

• Record Type: Journal Article
• Authors: Carneiro, Herman; Rasalingam, Ravi
• Is Part Of: Echocardiography. Volume 36:Issue 2(2019)
• Page Start: 401
• Page End: 405
• Publication Date: 2018-12-28
• Subjects: aorta -- Candida -- echocardiogram -- endocarditis -- nonvalvular; Echocardiography -- Periodicals; Echocardiography -- Periodicals; 616.1207543
• DOI: 10.1111/echo.14233
• Languages: English
• ISSNs: 0742-2822

Abstract

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.