Two-stage operation for isolated pulmonary valve infectious endocarditis with Candida parapsilosis.
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.
['Uchida|Wataru|W|', 'Hirate|Yuichi|Y|', 'Ito|Hideki|H|', 'Kawaguchi|Osamu|O|']
D000368:Aged D000900:Anti-Bacterial Agents D002177:Candidiasis D003646:Debridement D004696:Endocarditis D019918:Heart Valve Prosthesis Implantation D006801:Humans D008297:Male D011664:Pulmonary Valve D011665:Pulmonary Valve Insufficiency D012008:Recurrence D012086:Reoperation D013997:Time Factors D016896:Treatment Outcome
Pulmonary valve Endocarditis Fungi Reoperation