Fungal endocarditis following cardiac surgery.
Indian Heart J
;
1998 Jul-Aug; 50(4): 418-22
Article
in English
| IMSEAR
| ID: sea-3814
ABSTRACT
This study analysed cases of fungal endocarditis following cardiac surgery encountered in our institute between January 1994 and December 1997. A total of 887 prosthetic valve and 114 homograft valve replacements were performed during the study period. In this group, eight cases of fungal endocarditis (aged 14-53 years) were encountered during the follow-up of which five were caused by candida species and three by aspergillus species. Four cases involved aortic homografts, two mitral prosthesis, one an aortic prosthesis and one was a Goretex patch endocarditis. Seven patients had early endocarditis; all presented with fever and two had embolic manifestations. Seven patients each had positive blood cultures and echocardiographically demonstrable vegetations. Despite management with amphotericin B and early repeat surgical interventions, six had a fatal outcome. One patient is doing well at nine months follow-up after a second valve replacement and one is lost to follow-up.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Prognosis
/
Aspergillosis
/
Female
/
Humans
/
Male
/
Candidiasis
/
Heart Valve Prosthesis
/
Survival Rate
/
Retrospective Studies
/
Adolescent
Type of study:
Observational study
/
Prognostic study
Language:
English
Journal:
Indian heart j
Year:
1998
Type:
Article
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