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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| Format: | Article |
| Language: | English |
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MDPI AG
2025-03-01
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| Series: | Microorganisms |
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| Online Access: | https://www.mdpi.com/2076-2607/13/3/580 |
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| author | Ricardo El Nouwar Eva Larranaga Lapique Frédéric Vanden Eynden Delphine Martiny Myriam Remmelink Ana Roussoulières Maya Hites |
| author_facet | Ricardo El Nouwar Eva Larranaga Lapique Frédéric Vanden Eynden Delphine Martiny Myriam Remmelink Ana Roussoulières Maya Hites |
| author_sort | Ricardo El Nouwar |
| collection | DOAJ |
| description | <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. |
| format | Article |
| id | doaj-art-ed42d77b22e14a2da7173ce0c5dcdf47 |
| institution | Kabale University |
| issn | 2076-2607 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Microorganisms |
| spelling | doaj-art-ed42d77b22e14a2da7173ce0c5dcdf472025-08-20T03:43:10ZengMDPI AGMicroorganisms2076-26072025-03-0113358010.3390/microorganisms13030580Case Report: Heart Transplantation for Refractory <i>Candida tropicalis</i> Endocarditis: A Case Report and Literature ReviewRicardo El Nouwar0Eva Larranaga Lapique1Frédéric Vanden Eynden2Delphine Martiny3Myriam Remmelink4Ana Roussoulières5Maya Hites6Clinic of Infectious Diseases, Hôpital Universitaire de Bruxelles (HUB), 1070 Brussels, BelgiumClinic of Infectious Diseases, Hôpital Universitaire de Bruxelles (HUB), 1070 Brussels, BelgiumDepartment of Cardiac Surgery, Hôpital Universitaire de Bruxelles (HUB), 1070 Brussels, BelgiumLaboratoire Hospitalier Universitaire de Bruxelles-Université Libre de Bruxelles (LHUB-ULB), 1000 Brussels, BelgiumAnatomy and Pathology Department, Hôpital Universitaire de Bruxelles (HUB), 1070 Brussels, BelgiumDepartment of Cardiology, Hôpital Universitaire de Bruxelles (HUB), 1070 Brussels, BelgiumClinic of Infectious Diseases, Hôpital Universitaire de Bruxelles (HUB), 1070 Brussels, Belgium<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.https://www.mdpi.com/2076-2607/13/3/580fungal endocarditisheart transplantationantifungal therapy<i>Candida</i> infection |
| spellingShingle | Ricardo El Nouwar Eva Larranaga Lapique Frédéric Vanden Eynden Delphine Martiny Myriam Remmelink Ana Roussoulières Maya Hites Case Report: Heart Transplantation for Refractory <i>Candida tropicalis</i> Endocarditis: A Case Report and Literature Review Microorganisms fungal endocarditis heart transplantation antifungal therapy <i>Candida</i> infection |
| title | Case Report: Heart Transplantation for Refractory <i>Candida tropicalis</i> Endocarditis: A Case Report and Literature Review |
| title_full | Case Report: Heart Transplantation for Refractory <i>Candida tropicalis</i> Endocarditis: A Case Report and Literature Review |
| title_fullStr | Case Report: Heart Transplantation for Refractory <i>Candida tropicalis</i> Endocarditis: A Case Report and Literature Review |
| title_full_unstemmed | Case Report: Heart Transplantation for Refractory <i>Candida tropicalis</i> Endocarditis: A Case Report and Literature Review |
| title_short | Case Report: Heart Transplantation for Refractory <i>Candida tropicalis</i> Endocarditis: A Case Report and Literature Review |
| title_sort | case report heart transplantation for refractory i candida tropicalis i endocarditis a case report and literature review |
| topic | fungal endocarditis heart transplantation antifungal therapy <i>Candida</i> infection |
| url | https://www.mdpi.com/2076-2607/13/3/580 |
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