A rare case of a native aortic valve fungal endocarditis in a young woman

Łukasz Piątek; Karolina Piątek; Jacek Kurzawski; Szymon Domagała; Zbigniew Starzyk; Edward Pietrzyk

doi:10.5114/ms.2022.117705

eISSN: 2300-6722
ISSN: 1899-1874

Medical Studies/Studia Medyczne

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2/2022
vol. 38

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abstract:

Case report

A rare case of a native aortic valve fungal endocarditis in a young woman

Łukasz Piątek

¹

,

Karolina Piątek

¹

,

Jacek Kurzawski

²

,

Szymon Domagała

¹

,

Zbigniew Starzyk

³

,

Edward Pietrzyk

³

Collegium Medicum, Jan Kochanowski University, Kielce, Poland Head of the Department: Prof. Marianna Janion MD, PhD
2nd Clinic of Cardiology, Swietokrzyskie Cardiology Centre, Kielce, Poland Head of the Department: Prof. Marianna Janion MD, PhD
Cardiosurgery Clinic, Swietokrzyskie Cardiology Centre, Kielce, Poland Head of the Department: Edward Pietrzyk MD, PhD

Medical Studies/Studia Medyczne 2022; 38 (2): 171–174

DOI: https://doi.org/10.5114/ms.2022.117705

Online publish date: 2022/06/30

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We present a rare case of a native aortic valve fungal endocarditis in a young obese woman. Our patient had undergone a bariatric surgery followed by numerous local complications associated with further surgical procedures and multiple antibiotic treatment. Six months later, she was admitted to our centre with signs of septicaemia. In echocardiography a massive tumour on the aortic valve was revealed. An urgent cardiosurgery operation was performed – the tumour was resected and an artificial valve was implanted. Microbiological analysis of the tumour and blood samples confirmed fungal infection (Candida albicans). Intensive antifungal therapy was continued for 4 weeks. However, during the hospitalization serious embolic complications were observed. Finally, the patient responded well on implemented treatment and was discharged in a good clinical condition. Our case presents an exceptionally rare form of cardiac infection, unexpected in immunocompetent patients. We associate this condition with an unfavourable course of the previous bariatric therapies.

keywords:

A rare case of a native aortic valve fungal endocarditis in a young woman

Łukasz Piątek 1 , Karolina Piątek 1 , Jacek Kurzawski 2 , Szymon Domagała 1 , Zbigniew Starzyk 3 , Edward Pietrzyk 3

aortic valve, Candida, fungal endocarditis

Łukasz Piątek

¹

,

Karolina Piątek

¹

,

Jacek Kurzawski

²

,

Szymon Domagała

¹

,

Zbigniew Starzyk

³

,

Edward Pietrzyk

³