Culture-negative fungal endocarditis

A 54-year-old female, known case of hypertension and diabetes mellitus (controlled), was admitted with prolonged fever for 1½ months. On evaluation, fever workup was inconclusive and multiple cultures were negative. On re-assessment of history, she gave a history of cardiac catheterization 1 month b...

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Bibliographic Details
Published in:Heart and mind (Mumbai, India) India), 2019-01, Vol.3 (1), p.27-30
Main Authors: Rohit Kumar, J Kirtana, Parul Kodan, Yogiraj Ray, Prabhat Kumar, Ashutosh Biswas
Format: Article
Language:English
Subjects:
biomarkers
caspofungin
endocarditis
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Summary:A 54-year-old female, known case of hypertension and diabetes mellitus (controlled), was admitted with prolonged fever for 1½ months. On evaluation, fever workup was inconclusive and multiple cultures were negative. On re-assessment of history, she gave a history of cardiac catheterization 1 month back. Further evaluation revealed aortic valve vegetation on two-dimensional echo with raised beta-D glucan levels. She was managed with antifungal therapy followed by valve replacement surgery. The patient improved following the management and is doing fine. This case highlights the importance of detailed history-taking and evaluation. It also highlights the not uncommon occurrence of fungal endocarditis in patients with healthcare contact and the role of biomarkers as surrogate in case of culture-negative endocarditis.
ISSN:2468-6476
2468-6484
DOI:10.4103/hm.hm_31_19