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Preterm Caesarean Delivery in a Parturient with Candida parapsilosis Endocarditis.

Fu J, Retherford LM, Flynn B - Case Rep Anesthesiol (2015)

Bottom Line: We present the first documented case of Candida parapsilosis infective endocarditis in a pregnant patient.While the incidence of infective endocarditis during pregnancy is rare, the incidence of C. parapsilosis endocarditis is even rarer.The numerous specific risks and decision making processes regarding this case are presented.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology, Maimonides Medical Center, 4802 Tenth Avenue, Brooklyn, NY 11219, USA.

ABSTRACT
We present the first documented case of Candida parapsilosis infective endocarditis in a pregnant patient. While the incidence of infective endocarditis during pregnancy is rare, the incidence of C. parapsilosis endocarditis is even rarer. The numerous specific risks and decision making processes regarding this case are presented.

No MeSH data available.


Related in: MedlinePlus

3D midesophageal aortic valve short-axis view. In (a), the valve is opening. Note the vegetation on all three leaflets. In (b), the valve is closed and vegetation can be seen obstructing the point of coaptation.
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fig2: 3D midesophageal aortic valve short-axis view. In (a), the valve is opening. Note the vegetation on all three leaflets. In (b), the valve is closed and vegetation can be seen obstructing the point of coaptation.

Mentions: She initially presented to an outside hospital one week earlier with severe right thigh and groin pain, which had progressed to the point of inhibiting ambulation. A right lower extremity Doppler study revealed an occlusive thrombus in the deep femoral artery. She was started on therapeutic enoxaparin and transferred to a second hospital, where a transthoracic echocardiogram (TTE) revealed large vegetative lesions on all 3 leaflets of the aortic valve, including a mobile vegetation measuring 0.8-1-cm on the ventricular side of the valve (Figures 1–3). Mild to moderate aortic insufficiency was present. Blood cultures grew yeast but had not yet speciated upon transfer to our hospital. Amphotericin B was initiated and, after an initial infusion reaction, she was able to tolerate subsequent doses with premedication. Micafungin was added until speciation of the yeast was final. She remained hemodynamically stable requiring no inotropic or pressor support.


Preterm Caesarean Delivery in a Parturient with Candida parapsilosis Endocarditis.

Fu J, Retherford LM, Flynn B - Case Rep Anesthesiol (2015)

3D midesophageal aortic valve short-axis view. In (a), the valve is opening. Note the vegetation on all three leaflets. In (b), the valve is closed and vegetation can be seen obstructing the point of coaptation.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4499616&req=5

fig2: 3D midesophageal aortic valve short-axis view. In (a), the valve is opening. Note the vegetation on all three leaflets. In (b), the valve is closed and vegetation can be seen obstructing the point of coaptation.
Mentions: She initially presented to an outside hospital one week earlier with severe right thigh and groin pain, which had progressed to the point of inhibiting ambulation. A right lower extremity Doppler study revealed an occlusive thrombus in the deep femoral artery. She was started on therapeutic enoxaparin and transferred to a second hospital, where a transthoracic echocardiogram (TTE) revealed large vegetative lesions on all 3 leaflets of the aortic valve, including a mobile vegetation measuring 0.8-1-cm on the ventricular side of the valve (Figures 1–3). Mild to moderate aortic insufficiency was present. Blood cultures grew yeast but had not yet speciated upon transfer to our hospital. Amphotericin B was initiated and, after an initial infusion reaction, she was able to tolerate subsequent doses with premedication. Micafungin was added until speciation of the yeast was final. She remained hemodynamically stable requiring no inotropic or pressor support.

Bottom Line: We present the first documented case of Candida parapsilosis infective endocarditis in a pregnant patient.While the incidence of infective endocarditis during pregnancy is rare, the incidence of C. parapsilosis endocarditis is even rarer.The numerous specific risks and decision making processes regarding this case are presented.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology, Maimonides Medical Center, 4802 Tenth Avenue, Brooklyn, NY 11219, USA.

ABSTRACT
We present the first documented case of Candida parapsilosis infective endocarditis in a pregnant patient. While the incidence of infective endocarditis during pregnancy is rare, the incidence of C. parapsilosis endocarditis is even rarer. The numerous specific risks and decision making processes regarding this case are presented.

No MeSH data available.


Related in: MedlinePlus