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Fungal prosthetic aortic valve endocarditis and endarteritis: An unusual cause of aortic root vegetations
Author(s) -
Carneiro Herman,
Rasalingam Ravi
Publication year - 2019
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.14233
Subject(s) - endarteritis , aortic root , medicine , endocarditis , aortic valve , cardiology , aorta
Fungal endocarditis is a relatively rare occurrence with high morbidity and mortality. Patients may have an indolent and non‐specific course requiring a high index of suspicion to make a diagnosis. Here, we present the case of a 33‐year‐old patient who presented with fevers and acute lower limb ischemia requiring a 4‐compartment fasciotomy caused by septic emboli from Candida albicans endocarditis. The patient had a large vegetation in the ascending aorta associated with a mycotic aneurysm, which is an exceedingly rare location for a vegetation. We also review the literature and summarize the typical echocardiographic appearance and vegetation locations in fungal endocarditis.