Karrati Siham, Mhirig Ibtissam, Baiya Mahjouba, El Hakkouni Awatif
Biology Department/Parasitology-Mycology Laboratory, Mohammed VI University Hospital/Faculty of Medicine and Pharmacy-Cadi Ayyad University, Marrakech, MAR.
Cureus. 2025 Feb 28;17(2):e79824. doi: 10.7759/cureus.79824. eCollection 2025 Feb.
Fungal endocarditis (FE) is a rare yet potentially life-threatening complication of permanent cardiac pacing, most commonly caused by species of the genera and . The diagnosis is challenging, as the clinical presentation of FE is usually nonspecific and insidious. A high level of clinical suspicion is required, particularly in patients with implantable pacemakers presenting with unexplained fever. Early diagnosis is crucial for effective and prompt management, which generally relies on a combined medical and surgical approach. We report a case of fungal pacemaker lead endocarditis caused by Candida albicans in a 68-year-old man, which was successfully treated with a multidisciplinary approach combining surgical explantation and antifungal therapy.
真菌性心内膜炎（FE）是永久性心脏起搏罕见但可能危及生命的并发症，最常见的病因是 属和 属的菌种。FE的诊断具有挑战性，因为其临床表现通常不具特异性且隐匿。需要高度的临床怀疑，特别是对于植入起搏器且出现不明原因发热的患者。早期诊断对于有效和及时的治疗至关重要，治疗通常依赖于药物和手术相结合的方法。我们报告了一例68岁男性由白色念珠菌引起的真菌性起搏器导线心内膜炎病例，该病例通过手术取出导线和抗真菌治疗相结合的多学科方法成功治愈。
