Open Access
A case of trichosporon beigelii endocarditis 8 years after aortic valve replacement
Author(s) -
Sidarous Michael G.,
O'Reilly Michael V.,
Cherubim Charles E.
Publication year - 1994
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960170413
Subject(s) - medicine , endocarditis , aortic valve , cardiology , surgery , aortic valve replacement , stroke (engine) , aorta , transesophageal echocardiogram , stenosis , mechanical engineering , engineering
Abstract We report a case of Trichosporon beigelii endocarditi s in a 77‐year‐old diabetic man who presented with an embolic stroke 8 years ago after a porcine aortic valve replacement. He was treated successfully with amphotericin, rifampin, and replacement of the original porcine valve; however, he died suddenly 8 months later from unknown causes. Blood cultures 2 months prior to death were negative. The first manifestation of the endocarditis was a left hemiparesis followed some days later by a splenic infarction. Transthoracic echocardiography failed to demonstrate the aortic vegetation, which was clearly visualized subsequently by transesophageal echocardiography. The literature on Trichosporon beigelii endocarditis is reviewed.