Author:
López-Ciudad Víctor,Castro-Orjales María J,León Cristóbal,Sanz-Rodríguez César,de la Torre-Fernández María J,de Juan-Romero Miguel A Pérez,Collell-Llach María D,Díaz-López María D
Abstract
Abstract
Background
Fungal mural endocarditis is a rare entity in which the antemortem diagnosis is seldom made. Seven cases of mural endocarditis caused by Candida spp. have been collected from literature and six of these patients died after treatment with amphotericin B.
Case presentation
We report a case of mural endocarditis diagnosed by transesophageal echocardiogram and positive blood cultures to Candida parapsilosis. Because blood cultures continued to yield C. parapsilosis despite caspofungin monotherapy, treatment with voriconazole was added.
Conclusion
This is the first description of successful treatment of C. parapsilosis mural endocarditis with caspofungin and voriconazole.
Publisher
Springer Science and Business Media LLC
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