Collins G J, Rich N M, Hobson R W, Andersen C A, Green D
Ann Surg. 1977 Aug;186(2):136-9. doi: 10.1097/00000658-197708000-00003.
Candida endocarditis is a serious condition which should be suspected in any patient with signs and symptoms compatible with bacterial endocarditis when cultures are negative. It should be managed by a medical-surgical approach which combines resection of all infected heart tissue and repair of any preexisting heart defects with appropriate antifungal therapy. Mycotic aneurysms should be treated by ligation of the vessel above and below the aneurysm, resection of the aneurysm, and implementation of appropriate antifungal or antibacterial therapy. Revascularization is not always necessary. When required, an extra-anatomic approach is preferable to placing a graft through the bed of the aneurysm.
念珠菌性心内膜炎是一种严重疾病，当培养结果为阴性时，对于任何有与细菌性心内膜炎相符的体征和症状的患者都应怀疑此病。其治疗应采用内科-外科联合方法，即切除所有受感染的心脏组织，并通过适当的抗真菌治疗修复任何先前存在的心脏缺陷。真菌性动脉瘤应通过结扎动脉瘤上下的血管、切除动脉瘤以及实施适当的抗真菌或抗菌治疗来处理。并非总是需要进行血管重建。如有需要，采用解剖外途径比通过动脉瘤床植入移植物更为可取。
