Cabral Andrea Maria, da Siveira Rioja Suzimar, Brito-Santos Fabio, Peres da Silva Juliana Ribeiro, MacDowell Maria Luíza, Melhem Marcia S C, Mattos-Guaraldi Ana Luíza, Hirata Junior Raphael, Damasco Paulo Vieira
Faculdade de Ciências Médicas - Universidade do Estado do Rio de Janeiro - UERJ, Rio de Janeiro, Brazil.
Laboratório de Micologia do Instituto Nacional de Infectologia (INI), Evandro Chagas, FIOCRUZ, Rio de Janeiro, Brazil.
JMM Case Rep. 2017 Nov 2;4(11):e005119. doi: 10.1099/jmmcr.0.005119. eCollection 2017 Nov.
Endocarditis caused by yeasts is currently an emerging cause of infective endocarditis and, when accompanied byfever of unknown origin, is more severe since interferes with proper diagnosis and endocarditis treatment. The Rio de Janeiro Infective Endocarditis Study Group reports a case of infectious endocarditis (IE) with negative blood cultures in a 45-year-old white female resident in Rio de Janeiro, Brazil, previously submitted to kidney transplantation. After diagnosis and intervention, the valve culture revealed . The clinical aspects and overview of endocarditis caused by spp. demonstrated that have been isolated from the last IE cases from kidney transplanted patients. Though most of the patients (in literature) recovered well from endocarditis caused by spp., physicians must be aware for diagnosis of fungemia and fungal treatment in kidney transplanted patients suffering of fever of unknown origin in the modern immunosuppressive treatment.
酵母菌引起的心内膜炎目前是感染性心内膜炎的一个新兴病因，当伴有不明原因发热时，病情更为严重，因为这会干扰正确的诊断和心内膜炎治疗。里约热内卢感染性心内膜炎研究小组报告了一例在巴西里约热内卢的45岁白人女性居民中发生的血培养阴性的感染性心内膜炎（IE）病例，该女性此前接受了肾移植。经过诊断和干预，瓣膜培养显示……由……属引起的心内膜炎的临床情况及概述表明，……已从肾移植患者的最后几例IE病例中分离出来。尽管（文献中的）大多数患者从由……属引起的心内膜炎中恢复良好，但在现代免疫抑制治疗中，医生必须警惕对不明原因发热的肾移植患者进行真菌血症的诊断和真菌治疗。
