Isolated native tricuspid valve Candida endocarditis in a non-drug-addicted patient: case report and review of the literature

J Heart Valve Dis. 2003 Sep;12(5):652-8.

Abstract

A case is reported of isolated native tricuspid calve Candida parapsilosis endocarditis (INTVCE) in a male patient with no history of drug abuse or heart disease. The patient had received hyperalimentation and antibiotics for four months via a central venous catheter after abdominal surgery. He underwent successful treatment with tricuspid valve debridement, liposomal amphotericin (AmBisome) and fluconazole, and remained without relapse during an eight-year follow up. A literature review of 12 similar cases (including the present patient) without history of drug abuse or heart disease, dating from 1970, is included.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Amphotericin B / therapeutic use
  • Antifungal Agents / therapeutic use
  • Candidiasis / microbiology*
  • Candidiasis / therapy
  • Debridement
  • Echocardiography
  • Endocarditis / microbiology*
  • Endocarditis / therapy
  • Fluconazole / therapeutic use
  • Humans
  • Male
  • Middle Aged
  • Parenteral Nutrition, Total
  • Substance-Related Disorders*
  • Tomography, X-Ray Computed
  • Tricuspid Valve / diagnostic imaging
  • Tricuspid Valve / microbiology*

Substances

  • Antifungal Agents
  • Amphotericin B
  • Fluconazole