Open AccessAcute limb ischemia due to Candida tropicalis mitral valve endocarditis
Author(s) -
Hsin-Chi Chuang,
HungYi Chen,
ChienSung Tsai,
Chun–Shu Lin
Publication year - 2016
Publication title -
yīxué yánjiū zázhì/journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.176
H-Index - 12
eISSN - 2542-4939
pISSN - 1011-4564
DOI - 10.4103/1011-4564.196376
Subject(s) - medicine , embolectomy , endocarditis , candida tropicalis , etiology , revascularization , cardiology , ischemia , embolism , surgery , myocardial infarction , pulmonary embolism , antifungal , dermatology
Fungal endocarditis is a very rare entity and is associated with high morbidity and mortality rates. We report a 68-year-old man with fungal valvular endocarditis over the mitral valve with a large vegetation located over the anterior leaflet, presenting initially as acute limb ischemia of the left lower limb. Immediate embolectomy was performed for revascularization of the left lower limb. Pathologic section of the retrieved femoral embolectomy specimen revealed aggregated fungal spores and hyphae. Blood cultures were positive for Candida tropicalis. We should be alert to treat patients with acute arterial occlusion of the extremities and to investigate the underlying possible fatal etiology