Báo cáo y học: "Prosthetic valve endocarditis caused by Candida lusitaniae, an uncommon pathogen: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Prosthetic valve endocarditis caused by Candida lusitaniae, an uncommon pathogen: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Prosthetic valve endocarditis caused by Candida lusitaniae an uncommon pathogen a case report Ross G Michel1 Gary T Kinasewitz1 Douglas A Drevets2 Jeremy H Levin1 and Douglas W Warden3 Address 1Division of Pulmonary Critical Care Medicine and Infectious Diseases University of Oklahoma Health Sciences Center Oklahoma City Oklahoma USA 2Division of Infectious Diseases University of Oklahoma Health Sciences Center Oklahoma City Oklahoma USA and 3Department of Pathology University of Oklahoma Health Sciences Center Oklahoma City Oklahoma USA Email RGM - Ross-Michel@ GTK - Gary-Kinasewitz@ DAD - Douglas-Drevets@ JHL - Jeremy-Levin@ DWW - Douglas-Wardenl@ Corresponding author Published 14 May 2009 Received 12 August 2008 Journal of Medical Case Reports 2009 3 7611 doi 1752-1947-3-7611 Accepted 22 January 2009 This article is available from http jmedicalcasereports article view 7611 2009 Michel et al licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Candida lusitaniae was originally described as a human pathogen in 1979 and typically affects immunocompromised patients. Case presentation We describe a case of prosthetic valve endocarditis with Candida lusitaniae in an immunocompetent 62-year-old woman following aortic valve replacement. In vitro testing demonstrated that our isolate was sensitive to amphotericin B caspofungin and fluconazole. Conclusion The infection was lethal despite aggressive medical and surgical management and sterilization of blood cultures. The outcome of our case illustrates the need to recognize Candida lusitaniae fungemia as a life-threatening infection

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