Abstract
Acute ischemia due to arterial embolism occurred in the right leg of a male drug abuser who had developed fungal endocarditis as a result ofCandida parapsilosis. Transesophageal echocardiography aided in the diagnosis. The patient was successfully treated with fibrinolysis and surgery. The clinical features and management of this serious condition have been reviewed in the literature.
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References
Kitts D, Bongard FS, Klein SR. Septic embolism complicating infective endocarditis. J Vasc Surg 1991;14:480–487.
De Gennes C, Souilhem J, Le Thi Huong Du, et al. Emboli artérielle des membres au cours des endocardites infectieuses sur valves natives. Presse Med 1990;23:1177–1181.
Wichitz S, Wolff M, Fraisse SF, et al. Les endocardites àStaphylococcus aureus. Arch Mal Coeur 1987;80:1283–1289.
Kawamoto T, Nakano S, Matsuda H, et al.Candida endocarditis with saddle embolism: A successful surgical intervention. Ann Thorac Surg 1989;48:723–724.
Perrone C, Leport C, Vilde JL. Complications vasculaires des endocardites infectieuses. Angéiologie 1989;41:231–235.
Freischlag JA, Asbun HA, Sedwitz MM, et al. Septic peripheral embolization from bacterial and fungal endocarditis. Ann Vasc Surg 1989;3:318–323.
Weems JJ.Candida parapsilosis: Epidemiology, pathogenicity, clinical manifestations, and antimicrobial susceptibility. Clin Infect Dis 1992;14:756–766.
Bisbe J, Miro JM, Latorre X, et al. Disseminated candidiasis in addicts who use brown heroin: Report of 83 cases and review. Clin Infect Dis 1992;15:910–923.
Light JT, Hendrickson M, Sholes M, et al. Acute aortic occlusion secondary toAspergillus endocarditis in an intravenous drug abuser. Ann Vasc Surg 1991;5:271–275.
Case records of the Massachusetts General Hospital. Case 18-1989. A 52-year-old woman with left-lower quadrant abdominal pain, fever, and splenic infarcts. N Engl J Med 1989;320:201–206.
Rubin BG, Barzilai B, Allen BT, et al. Detection of the source of arterial emboli by transesophageal echocardiography: A case report. J Vasc Surg 1992;15:573–577.
Blinkhorn RJ, Eckhauser ML, Snow N. Saddle embolism complicatingCandida parapsilosis aortic valve endocarditis: Cure with aortic valve replacement and prompt extraction of multiple fungal emboli. J Vasc Surg 1992;16:128–129.
Medoff G, Dismukes WE, Pappagianis D, et al. General guidelines for the evaluation of new antifungal drugs for the treatment of systemic fungal infections. Clin Infect Dis 1992;15(Suppl 1):274–281.
Hernandez JA, Gonzalez-Moreno M, Casan JM, et al. Endocarditis porCandida albicans con embolismo arterial periférico y aneurisma micotico cerebral en adicto adrogas por via parenteral. Rev Clin Esp 1993;192:223–225.
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Lozano, P., Flores, D., Blanes, I. et al. Acute lower limb ischemia complicating endocarditis due toCandida parapsilosis in a drug abuser. Annals of Vascular Surgery 8, 591–594 (1994). https://doi.org/10.1007/BF02017417
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DOI: https://doi.org/10.1007/BF02017417