Recurrent fungal endocarditis: one case report and literature review
10.12138/j.issn.1671-9638.20193881
- VernacularTitle:复发性真菌性心内膜炎1例及文献复习
- Author:
Xin LV
1
;
Yu-Bin FAN
;
Rong-Ling HE
;
Jie MENG
;
Zai-Xin YU
;
Wei XIE
Author Information
1. 中南大学湘雅医院呼吸内科 呼吸与危重症医学科 国家呼吸疾病临床医学研究中心核心单位
- Keywords:
infective endocarditis;
Candida parapsilosis;
vegetation;
embolism
- From:
Chinese Journal of Infection Control
2019;18(3):249-252
- CountryChina
- Language:Chinese
-
Abstract:
A 56-year-old female patient was admitted to a hospital because of repeated fatigue, anorexia, fever for more than one year, recurrence for 2 months and sudden left limb twitch for 10 days. In 2017, patient was diagnosed with infective endocarditis, then underwent aortic valve replacement, valve biopsy showed Candida parapsilosis, she took medicine regularly after operation and withdrew medicine after three consecutive negative blood culture. Fever and multiple organ infarction occurred again in 2018, Candida parapsilosis was isolated again from blood culture, it is suggested that fungal endocarditis may be latent and recurrence in human body for a long time, exfoliation of vegetation may embolize various organs and lead to corresponding clinical manifestations, surgery combined with drug therapy and subsequent maintenance of antifungal therapy are extremely important to improve the prognosis of patients.
