Mitral valve infective endocarditis as a manifestation of disseminatedCryptococcus neoformans infection: a case report

Infective endocarditis is a disease that affects mainly the endocardial surface of the heart and cardiac valves (native or prosthetic). The main risk factors for developing infective endocarditis are male sex, older age, intracardiac shunts, prosthetic valves, rheumatic, and congenital heart disease...

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Detalhes bibliográficos
Autores: Flores-Alamos, Oyuky, González-Guzmán, Diego, Andrade-Ortega, Antonio de Jesús, Ponce-Gallegos, Jaime, Coyac-Cavazos, Amayrani E., Salinas-Ulloa, César Yldifonso, Ponce-Gallegos, Marco Antonio
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:Perú
Recursos:Instituto Nacional Cardiovascular
Repositorio:Archivos peruanos de cardiología y cirugía cardiovascular
Idioma:inglés
OAI Identifier:oai:apcyccv.org.pe:article/412
Acesso em linha:https://apcyccv.org.pe/index.php/apccc/article/view/412
Access Level:acceso abierto
Palavra-chave:Cryptococcus neoformans
Endocarditis
Mycoses
Mitral Valve
Descrição
Resumo:Infective endocarditis is a disease that affects mainly the endocardial surface of the heart and cardiac valves (native or prosthetic). The main risk factors for developing infective endocarditis are male sex, older age, intracardiac shunts, prosthetic valves, rheumatic, and congenital heart disease, intracardiac devices, intravenous drugs use, immunosuppression, and hemodialysis. Streptococci and Staphylococci spp. have been the most frequent isolated organisms. On the other hand, the most common fungal organism in infective endocarditis is Candida albicans (24-46%), followed by Aspergillus spp. (25%), and a few cases by Cryptococcus neoformans, which are associated with higher rate of mortality. This case provides an interesting case of Cryptococcus neoformans native valve infective endocarditis in a young woman with stage IV chronic kidney disease and severe malnutrition.