Boyanton Bobby L, Boamah Harry, Lauter Carl B
Department of Pathology, Arkansas Children's Hospital, Little Rock, Arkansas, USA.
Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Open Forum Infect Dis. 2021 Jul 14;8(8):ofab360. doi: 10.1093/ofid/ofab360. eCollection 2021 Aug.
is a rare cause of fungal endocarditis that affects both native and prosthetic valves. It is associated with a high mortality rate if not diagnosed early and treated with a combination of antifungal therapy and surgical intervention. We present a case of a 47-year-old man with histoplasmosis infective endocarditis. He was successfully treated with antifungal therapy and surgical replacement of the infected bioprosthetic aortic valve. Our systemic literature review includes 52 articles encompassing 60 individual cases of infective endocarditis from 1940 to 2020. Patient presentations, diagnostic laboratory testing accuracy, treatment modalities, and patient outcomes comparing and contrasting native and prosthetic valve infection are described.
是真菌性心内膜炎的一种罕见病因,可累及天然瓣膜和人工瓣膜。如果不及早诊断并采用抗真菌治疗与手术干预相结合的方法进行治疗,其死亡率很高。我们报告一例47岁男性组织胞浆菌病感染性心内膜炎病例。他通过抗真菌治疗和手术置换感染的生物人工主动脉瓣获得成功治愈。我们的系统性文献综述纳入了52篇文章,涵盖了1940年至2020年间60例感染性心内膜炎的个体病例。描述了患者表现、诊断实验室检测准确性、治疗方式以及比较和对比天然瓣膜与人工瓣膜感染的患者结局。