1/139. Echocardiographic diagnosis of large fungal verruca attached to mitral valve.In a patient with endocarditis due to candida tropicalis echocardiograms from mitral valve vegetations were found to mimic the typical pattern of a left atrial myxoma. A mass was shown occupying the mitral orifice posterior to the anterior mitral leaflet; densities also appeared in the left atrium.Though these echocardiographic findings were consistent with the diagnosis of a left atrial myxoma, there were other distinctive differential diagnostic features. Other diagnostic possibilities must, therefore, be considered in the interpretation of echocardiograms which suggest left atrial tumour.- - - - - - - - - - ranking = 1keywords = endocarditis (Clic here for more details about this article) |
2/139. Candida parapsilosis: an unusual organism causing prosthetic heart valve infective endocarditis.We report a case of Candida parapsilosis prosthetic heart valve infective endocarditis in a 67-year-old man. The infection was successfully treated with liposomal amphotericin b (AmBisome) and flucytosine. Surgical replacement of the infected valve was necessary. recurrence was prevented with oral fluconazole 400mg daily as maintenance therapy. The patient remained well after 2 years of follow-up.- - - - - - - - - - ranking = 5keywords = endocarditis (Clic here for more details about this article) |
3/139. Pancreatic infection with Candida parapsilosis.Candida species other than C. albicans have been implicated as pathogens in intravascular (bloodstream, intravascular devices, endocarditis) and extravascular (arthritis, osteomielitis, endophtalmitis) infections. C. parapsilosis, however, is rarely implicated in intra-abdominal infections (peritonitis during peritoneal dialysis, complicating surgery or solid-organ transplantation). We describe a case of a 48-y-old male with acute pancreatitis who had a pancreatic abscess produced by primary C. parapsilosis infection. Although he received adequate treatment with antifungal medication and surgical drainage, the outcome was fatal. Because the clinical findings are indistinguishable from bacterial abscesses, Candida species should be considered in cases of complicated pancreatitis, in order to establish a prompt adequate treatment.- - - - - - - - - - ranking = 1keywords = endocarditis (Clic here for more details about this article) |
4/139. Early fungal endocarditis in homograft recipients.Retrospective analysis of 200 homograft valve recipients at our institution revealed two cases of fungal endocarditis. Pathogenesis appears to be related to either recipient seeding in one elderly immunocompromised patient or a previously contaminated donor valve implanted in an otherwise healthy recipient. Therefore, our experience underscores the need for both meticulous prevention of fungal infection preoperatively in the recipient and elimination of previously contaminated homograft valves from the donor pool.- - - - - - - - - - ranking = 5keywords = endocarditis (Clic here for more details about this article) |
5/139. Successful treatment of candida albicans endocarditis in a child with leukemia--a case report and review of the literature.Candida species is now being increasingly recognised as an important cause of endocarditis especially in immunocompromised patients. A case of candida albicans endocarditis in a child with acute lymphoblastic leukemia (ALL) is reported. The child did not have a central venous catheter at any time. Treatment consisted of intravenous amphotericin b and fluconazole for 3 weeks followed by oral fluconazole for 2 weeks. No surgical resection was necessary. We highlight here the importance of echocardiography in the management of prolonged febrile neutropenia and discuss the dilemma of continuing chemotherapy in such patients.- - - - - - - - - - ranking = 6keywords = endocarditis (Clic here for more details about this article) |
6/139. Bivalve polymicrobial infective endocarditis.Polymicrobial infective endocarditis is uncommon, particularly vancomycin-resistant endocarditis and fugal endocarditis. The incidence of these infections is likely to. increase with advances in mediCAl technology and widespread use of central venous catheters. We report a case of bivalve endocarditis in which four organisms were identified, including vancomycin-resistant Enteroocausfaecium and Torulopsis glabrata.- - - - - - - - - - ranking = 8keywords = endocarditis (Clic here for more details about this article) |
7/139. Neonatal candidial endocarditis--a rare manifestation of systemic candidiasis.Infective candidial endocarditis in four premature neonates is reported. These occurred as a complication of systemic candidiasis. Vegetations were present on the right side of the heart in two cases and both sides in the other two. diagnosis requires a high degree of clinical suspicion. mortality rate is high despite appropriate therapy.- - - - - - - - - - ranking = 5keywords = endocarditis (Clic here for more details about this article) |
8/139. Successful non-surgical treatment of candida tropicalis endocarditis with liposomal amphotericin-B (AmBisome).Fungal endocarditis in children is most commonly a complication of palliative or curative surgery for congenital heart disease, rheumatic valvulitis and prolonged indwelling central venous and umbilical catheters. We describe here the case of a 3-y-old patient with chronic diarrhoea and prolonged total parenteral alimentation who developed severe C. tropicalis endocarditis and was treated successfully using a liposomal preparation of amphotericin-B (AmBisome) without surgical intervention.- - - - - - - - - - ranking = 6keywords = endocarditis (Clic here for more details about this article) |
9/139. Occlusion of the common iliac artery secondary of fungal endocarditis: report of a case.Fungal endocarditis becomes complicated by peripheral arterial embolization of the lower limbs in 33%-75% of cases. Although the prognosis of patients with fungal endocarditis has improved somewhat over recent years, it remains poor, especially when the disease is associated with peripheral arterial embolization. We report herein our experience of treating a patient in whom occlusion of the right common iliac artery developed secondary to endocarditis caused by Candida parapsilosis, and review the literature on this subject.- - - - - - - - - - ranking = 7keywords = endocarditis (Clic here for more details about this article) |
10/139. Postoperative endocarditis due to candida tropicalis.In conclusion, we emphasize the importance of isolating the fungal agent from repeated blood cultures, particularly in infective endocarditis following heart surgeries.- - - - - - - - - - ranking = 5keywords = endocarditis (Clic here for more details about this article) |
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