Exophiala dermatitidis fungal infective endocarditis on prosthetic mitral valve

BMJ Case Rep. 2023 Dec 12;16(12):e257224. doi: 10.1136/bcr-2023-257224.

Abstract

Fungal infective endocarditis, although rare, carries a high mortality risk. We present a case of successful multidisciplinary management of Exophiala dermatitidis infective endocarditis in an immunocompetent male with a bio-prosthetic mitral valve. This case highlights the clinical presentation and provides valuable treatment insights into this rare fungal entity. Prompt consideration of fungal pathogens in predisposed patients, expedited detection through non-culture-based tests, and a combined surgical and prolonged antifungal approach are pivotal.

Keywords: Cardiovascular medicine; Heart failure; Valvar diseases.

Publication types

  • Case Reports

MeSH terms

  • Endocarditis* / diagnosis
  • Endocarditis* / drug therapy
  • Endocarditis* / microbiology
  • Endocarditis, Bacterial* / surgery
  • Exophiala*
  • Heart Valve Diseases* / surgery
  • Heart Valve Prosthesis* / adverse effects
  • Humans
  • Male
  • Mitral Valve / surgery
  • Mycoses*

Supplementary concepts

  • Exophiala dermatitidis