Saroj Pani1*, Joanne Barlin1, Mikhail Torosoff2, Sridhar R Musuku1 and Adanna Akujuo3
1Department of Anesthesiology, Albany Medical Center, USA
2Department of Cardiology, Albany Medical Center, USA
3Department of Cardiothoracic Surgery, Albany Medical Center, USA
Here we present an unusual case of an endocarditis in an intravenous drug user. While convalescing from conservatively treated bacterial tricuspid valve endocarditis, the patient developed Candidial tricuspid valve endocarditis with severe valvular regurgitation and multiple pulmonary septic emboli, necessitating life-saving surgical treatment. This case illustrates severe complications of Candidal Infective Endocarditis (IE) in a vulnerable patient with prior history of endocarditis and continued IVDA. Diagnosis of Candidal infection requires a high index of suspicion. The clinical presentation may be similar, but the disease can be more devastating. The presented case increases awareness of fungal IE, illustrates complexity of treatment and demonstrates importance of multidisciplinary approach to the management this potentially lethal condition.
Tricuspid endocarditis; Candida albicans; IE
Pani S, Barlin J, Torosoff M, Musuku SR, Akujuo A. Conservatively Treated Bacterial Tricuspid Valve Endocarditis Complicated with Fungal Re-Infection, Tricuspid Valve Destruction, and Septic Pulmonary Emboli Necessitating Surgical Intervention. Ann Clin Anesth Res. 2019; 3(1): 1019.