Lee-Jones Scott G, van der Westhuizen Stefan, Taljaard Johannes, Govender Nelesh P, Razack Rubina
Division of Infectious Diseases, Department of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Division of Cardiothoracic Surgery, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
S Afr J Infect Dis. 2025 Feb 11;40(1):699. doi: 10.4102/sajid.v40i1.699. eCollection 2025.
Fungal endocarditis is rare, challenging to diagnose and treat and associated with high mortality. We describe a case of endocarditis in a patient with Ebstein's anomaly with a favourable outcome.
We emphasise that surgical intervention with source control of the infective vegetation is still the mainstay of treatment and highlight the importance of submitting infected source material for histology, culture and molecular testing to identify the causative organism.
真菌性心内膜炎罕见,诊断和治疗具有挑战性,且死亡率高。我们描述了一例患有埃布斯坦畸形的患者的心内膜炎病例,其预后良好。
我们强调,对感染性赘生物进行源头控制的手术干预仍是主要治疗方法,并强调提交感染源材料进行组织学、培养和分子检测以鉴定致病微生物的重要性。