Case Report: Heart Transplantation for Refractory <i>Candida tropicalis</i> Endocarditis: A Case Report and Literature Review

<i>Candida</i> infective endocarditis presents therapeutic challenges with high mortality. A complex case of <i>Candida</i> prosthetic valve endocarditis refractory to standard antifungals (anidulafungin and fluconazole) and high-dose caspofungin was successfully treated with...

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Bibliographic Details
Main Authors: Ricardo El Nouwar, Eva Larranaga Lapique, Frédéric Vanden Eynden, Delphine Martiny, Myriam Remmelink, Ana Roussoulières, Maya Hites
Format: Article
Language:English
Published: MDPI AG 2025-03-01
Series:Microorganisms
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Online Access:https://www.mdpi.com/2076-2607/13/3/580
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Summary:<i>Candida</i> infective endocarditis presents therapeutic challenges with high mortality. A complex case of <i>Candida</i> prosthetic valve endocarditis refractory to standard antifungals (anidulafungin and fluconazole) and high-dose caspofungin was successfully treated with heart transplantation. The literature review revealed a few cases of bacterial endocarditis successfully treated with heart transplantation, but with only two transplanted cases of fungal endocarditis. This report explores heart transplantation as a last resort for managing refractory infective endocarditis. The patient is still alive and free of infection, two and a half years after transplantation.
ISSN:2076-2607