Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2013 Aug;17(2):426-7.
doi: 10.1093/icvts/ivt189. Epub 2013 Apr 30.

Two-stage operation for isolated pulmonary valve infectious endocarditis with Candida parapsilosis

Wataru Uchida  1 , Yuichi Hirate, Hideki Ito, Osamu Kawaguchi
Affiliations
Case Reports

Two-stage operation for isolated pulmonary valve infectious endocarditis with Candida parapsilosis

Wataru Uchida et al. Interact Cardiovasc Thorac Surg. 2013 Aug.

Abstract

We report a case of isolated pulmonary infectious endocarditis (IE) with Candida parapsilosis. A 66-year-old man presented with fever and cough. Echocardiography showed severe pulmonary regurgitation and vegetations on the pulmonary valves. Initially, antibiotics were prescribed against bacterial IE, and the vegetations disappeared; however, the pulmonary vegetations relapsed, and C. parapsilosis was grown from blood cultures. We performed a debridement without a pulmonary valve replacement. There was no recurrence of IE for 3 years, and then the patient developed right ventricular enlargement and severe tricuspid regurgitation due to severe pulmonary regurgitation. Pulmonary valve replacement was performed. Now the patient is free from infection.

Keywords: Endocarditis; Fungi; Pulmonary valve; Reoperation.

PubMed Disclaimer

Figures

Figure 1:
Figure 1:
The echocardiography shows vegetation on the pulmonary valve.
Figure 2:
Figure 2:
Candida parapsilosis was detected from pulmonary valve specimens by Grocott stain.
See this image and copyright information in PMC

References

    1. Musci M, Siniawski H, Pasic M, Grauhan O, Weng Y, Meyer R, et al. Surgical treatment of right-sided active endocarditis with or without involvement of the left heart: 20-year single center experience. Eur J Cardiothorac Surg. 2007;32:118–25. doi:10.1016/j.ejcts.2007.02.034. - DOI - PubMed
    1. Baddley JW, Benjamin DK, Jr, Patel M, Miro J, Athan E, Barsic B, et al. Candida infective endocarditis. Eur J Clin Microbiol Infect Dis. 2008;27:519–29. doi:10.1007/s10096-008-0466-x. - DOI - PMC - PubMed
    1. Gullu AU, Akcar M, Arnaz A, Kizilay M. Candida parapsilosis tricuspid native valve endocarditis: 3-year follow-up after surgical treatment. Interact CardioVasc Thorac Surg. 2008;7:513–4. doi:10.1510/icvts.2007.173435. - DOI - PubMed
    1. Fiore AC, Rodefeld M, Turrentine M, Vijay P, Reynolds T, Standeven J, et al. Pulmonary valve replacement: a comparison of three biological valves. Ann Thorac Surg. 2008;85:1712–8. doi:10.1016/j.athoracsur.2008.02.001. - DOI - PubMed
    1. Shinkawa T, Anagnostopoulos PV, Johnson NC, Watanabe N, Sapru A, Azakie A. Performance of bovine pericardial valves in the pulmonary position. Ann Thorac Surg. 2010;90:1295–300. doi:10.1016/j.athoracsur.2010.06.021. - DOI - PMC - PubMed

Publication types

MeSH terms

Substances