Successful Medical Treatment of Candida albicans in Mechanical Prosthetic Valve Endocarditis

Laurent Aaron Service des maladies infectieuses et tropicales, Hôpital Necker Enfants-Malades, ParisCorrespondencee-mail. [email protected]

Audrey Therby Service d'immunologie clinique, Hôpital Necker Enfants-Malades, Paris

Jean-paul Viard Service des maladies infectieuses et tropicales, Hôpital Necker Enfants-Malades, Paris

Rima Lahoulou Service d'immunologie clinique, Hôpital Necker Enfants-Malades, Paris

Bertrand Dupont Service des maladies infectieuses et tropicales, Hôpital Necker Enfants-Malades, Paris

Abstract

Fungal prosthetic valve endocarditis is particularly serious, and is usually a result of nosocomial candidaemia. This report describes a patient with Candida albicans prosthetic valve endocarditis in whom surgery was believed to be contraindicated. After 45 d of amphotericin B, treatment was continued with fluconazole daily with a follow-up of 16 months, with no recurrent or adverse effects.

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Successful Medical Treatment of Candida albicans in Mechanical Prosthetic Valve Endocarditis

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Successful Medical Treatment of Candida albicans in Mechanical Prosthetic Valve Endocarditis

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