A Case Report of Candida endocarditis Associated with Giant Fungus Ball on the Tricuspid Valve.

DOI
  • AOYAGI Shigeaki
    Second Department of Surgery, Kurume University School of Medicine
  • KOGA Masashi
    Second Department of Surgery, Kurume University School of Medicine
  • SUZUKI Shigemitsu
    Second Department of Surgery, Kurume University School of Medicine
  • ANDO Fumihiko
    Second Department of Surgery, Kurume University School of Medicine
  • TANAKA Ko
    Second Department of Surgery, Kurume University School of Medicine
  • ORYOJI Atsushige
    Second Department of Surgery, Kurume University School of Medicine
  • KOSUGA Ken-ichi
    Second Department of Surgery, Kurume University School of Medicine
  • OISHI Kiroku
    Second Department of Surgery, Kurume University School of Medicine

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Other Title
  • Ｆｕｎｇｕｓ　ｂａｌｌを伴った三尖弁真菌性心内膜炎

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Description

A case of 41-year-old man with large candidal vegetation on the tricuspid valve was reported. He was presented with high fever and newly developed heart murmur. Four months before admission, he had suffered from head trauma which required intravenous hyperalimentation and injection of multiple antibiotics through catheter indwelling the superior vena cava. On admission, echocardiogram showed large vegetation on the tricuspid valve, although blood cultures were sterile. At operation, tricuspid valve was replaced with St. Jude Medical prosthesis because large vegetation developed from the anterior tricuspid leaflet was confirmed. Candida albicans was detected by microscopic examination of the vegetation. The total of 1500mg of Amphotericine-B were administered intravenously after operation. His postoperative course was uneventful. We discussed about the availability of echocardiogram for diagnosis and the effectiveness of a combination of chemotherapy and valve replacement for treament of fungal endocarditis.

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