Mvondo Charles Mve, D'Auria Francesca, Sordillo Pasquale, Pellegrino Antonio, Adreoni Massimo, Chiariello Luigi
Department of Cardiac Surgery, Policlinico Tor Vergata, Tor Vergata University of Rome, Rome, Italy.
Cardiovasc J Afr. 2013 Apr 23;24(3):e7-8. doi: 10.5830/CVJA-2013-006.
Fungal endocarditis is rare in comparison with bacterial endocarditis and is associated with a poor prognosis. Despite the proven reliability of echocardiography, false negatives are not uncommon and may influence the therapeutic strategy, as some reports have supported the efficacy of antifungal treatment alone. We report on a case of bioprosthetic aortic valve Candida parapsilosis endocarditis without typical echocardiograhy findings, which we treated with both antifungal and surgical therapy.
与细菌性心内膜炎相比，真菌性心内膜炎较为罕见，且预后较差。尽管超声心动图已被证实具有可靠性，但假阴性并不少见，可能会影响治疗策略，因为一些报告支持单独使用抗真菌治疗的疗效。我们报告一例生物人工主动脉瓣近平滑念珠菌心内膜炎病例，该病例无典型超声心动图表现，我们采用了抗真菌和手术治疗。
