Recurrent Infective Endocarditis and Its Complication in an Individual with Two Different Organisms – A Rare Presentation

Abstract

Fungal endocarditis is rare and does not usually occur in structurally normal hearts. The most common causative agent is Candida albicans. We report a 30-year-old male presenting with low-grade fever and shortness of breath. Two-dimensional echocardiography revealed ostium secundum atrial septal defect with vegetations over tricuspid and mitral valves. Blood culture showed the growth of Enterococcus sp. which was successfully managed by antibiotic therapy. 1.5 months after, the patient again presented with fever and features of heart failure. Echocardiography showed large mobile vegetations over tricuspid and mitral valves. This time blood culture showed growth of Candida tropicalis. The patient developed septic embolization in the right leg which was promptly managed with surgical intervention. The patient was further managed with medical and surgical intervention and was discharged in stable condition.

Keywords

• fungal endocarditis
• infective endocarditis
• recurrent endocarditis