Acute Lower Limb Ischemia Complicating Endocarditis due to Candida parapsilosis in a Drug Abuser

Lozano, P.; Flores, Domingo Pérez; Blanes, Ignacio; Rimbau, E.M.; Corominas, Carlos; Juliá, Jaume; Torre, A. García de la

doi:10.1007/bf02017417

Cited by 15 publications

(7 citation statements)

References 9 publications

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“…Previous reports have addressed acute embolic effects that may compromise limbs,5–7 spleen, or the central nervous system 8. Nonetheless, a subtle onset of musculoskeletal complaints, such as in this case, is rare and may lead to an adverse outcome if left unrecognized.…”

Section: Discussionmentioning

confidence: 89%

Insidious onset of intermittent claudication as the primary manifestation of infective endocarditis

Vasquez-Rios

Gamero

Cruz

et al. 2017

IJGM

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Musculoskeletal manifestations of infective endocarditis are well-described in the literature. However, insidious onset of localized calf pain is an uncommon presentation of embolization and may represent a diagnostic challenge owing to the nonspecific nature of the symptoms. This study reviewed the literature and reports a case of infective endocarditis in a patient who presented with bilateral calf pain as the primary complaint and reason for seeking medical attention.

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Section: Discussionmentioning

confidence: 89%

Insidious onset of intermittent claudication as the primary manifestation of infective endocarditis

Vasquez-Rios

Gamero

Cruz

et al. 2017

IJGM

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“…In a report by Lozano and associates, 50% of patient with fungal endocarditis were drug addicts and 60% had pre-existing valvar disease 7. Branco and colleagues reported a series of 10 patients with fungal endocarditis, in eight of whom the infection developed on a prosthetic valve; none of these patients was an intravenous drug user 4…”

Section: Discussionmentioning

confidence: 99%

Echocardiographic features of Candida species endocarditis: 12 cases and a review of published reports

Donal¹,

Abgueguen

Coisne

et al. 2001

Heart

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Objective-To describe the specific echocardiographic features of Candida species endocarditis. Design-Retrospective review of the case records of patients with confirmed candida endocarditis. Setting-Cases referred to three French university centres over an eight year period were studied. Design-12 patients with confirmed Candida species endocarditis infection were identified. The transthoracic (n = 12) and transoesophageal (n = 12) echocardiographic appearances were compared with the surgical findings (n = 10). Results-Large dense heterogeneous vegetations were found in 11/12 cases. A hyperechogenic heterogeneous myocardial texture, observed in seven of the 12 patients, was associated with extensive myocardial damage at surgery. While it was possible to diagnose candidal cardiac infection in all patients by transthoracic echocardiography, transoesophageal echocardiography was useful for optimal assessment of the valvar and paravalvar structures. Conclusions-In the setting of endocarditis, the detection of myocardial involvement, which is characterised by a heterogeneous myocardial texture, is an argument in favour of Candida species endocarditis and may warrant early surgical intervention.

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“…1 The diagnosis is based on medical history, objective clinical findings, conventional or transesophageal echocardiogram, and angiography to determine the exact site of the arterial obstruction. There were also acute ischemic symptoms requiring emergency revascularization surgery, or subacute ischemic symptoms, as seen in our patient, which may also benefit from surgery at a later date.…”

Section: Discussionmentioning

confidence: 99%

“…1 About 1% of cases of infective endocarditis in HIVpositive patients are of fungal origin and this etiology is associated with a poor outcome. 1 About 1% of cases of infective endocarditis in HIVpositive patients are of fungal origin and this etiology is associated with a poor outcome.…”

Section: Introductionmentioning

confidence: 99%

“…2,3 Arterial embolization is one of the major complications of fungal endocarditis and occurs most frequently in the lower limbs. 1,4,[5][6][7][8][9][10] We report herein our experience of treating a patient in whom occlusion of the right common iliac artery developed secondary to endocarditis caused by Reprint requests to: G.F. Veraldi (Received for publication on Dec. 24, 1998; accepted on Sept. Since 1950, when Zimmermann 4 reported the first case of fungal endocarditis complicated by lower limb embolization, a further 50 cases have been described in the English-language medical literature.…”

Section: Introductionmentioning

confidence: 99%

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Occlusion of the common iliac artery secondary of fungal endocarditis: Report of a case

et al. 2000

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Fungal endocarditis becomes complicated by peripheral arterial embolization of the lower limbs in 33%-75% of cases. Although the prognosis of patients with fungal endocarditis has improved somewhat over recent years, it remains poor, especially when the disease is associated with peripheral arterial embolization. We report herein our experience of treating a patient in whom occlusion of the right common iliac artery developed secondary to endocarditis caused by Candida parapsilosis, and review the literature on this subject.

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Acute Lower Limb Ischemia Complicating Endocarditis due to Candida parapsilosis in a Drug Abuser

Cited by 15 publications

References 9 publications

Insidious onset of intermittent claudication as the primary manifestation of infective endocarditis

Insidious onset of intermittent claudication as the primary manifestation of infective endocarditis

Echocardiographic features of Candida species endocarditis: 12 cases and a review of published reports

Occlusion of the common iliac artery secondary of fungal endocarditis: Report of a case

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