Uchida Wataru, Hirate Yuichi, Ito Hideki, Kawaguchi Osamu
Division of Cardiovascular Surgery, Nagoya Ekisaikai Hospital, Nagoya, Japan.
Interact Cardiovasc Thorac Surg. 2013 Aug;17(2):426-7. doi: 10.1093/icvts/ivt189. Epub 2013 Apr 30.
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.
我们报告一例由近平滑念珠菌引起的孤立性肺感染性心内膜炎（IE）病例。一名66岁男性出现发热和咳嗽症状。超声心动图显示严重的肺反流以及肺动脉瓣上的赘生物。起初，针对细菌性IE使用了抗生素，赘生物消失；然而，肺部赘生物复发，血培养培养出近平滑念珠菌。我们进行了清创术，未进行肺动脉瓣置换。IE在3年内未复发，之后患者因严重的肺反流出现右心室扩大和严重的三尖瓣反流。进行了肺动脉瓣置换。目前患者已无感染。
