Endocarditis due to infection by Paecilomyces variotii
Keywords:
Endocarditis, mycoses, Paecilomyces, mitral valve, cardiac surgical procedures, amphotericin B
Abstract
Fungal endocarditis is a cardiac complication that has been increasing throughout the world. We present a case of infective endocarditis by Paecilomyces variotii in a male patient with a prosthetic mitral valve. Successful treatment consisted of administration of amphotericin B (total dose 3,670 mg) and mitral valve replacement. Only six cases have been reported previously, with a 100% mortality rate.Downloads
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References
1. Ostermiller WE, Dye W, Seinberg M. Fungal endocarditis following cardiovascular surgery. J Thorac Cardiovasc Surg. 1971;61:670-5.
2. Joachim H, Polayes SH. Subacute endocarditis and systemic mycosis. JAMA. 1940;115:205-8.
3. Koelle WA, Pastor B. Candida albicans endocarditis after aortic valvulotomy. N Engl J Med. 1956;255:997-9.
4. Pierrotti LC, Baddour LM. Fungal endocarditis, 1995-2000. Chest. 2002;122:302-10.
5. Allevato PA, Ohorodnik JM, Mezger E, Eisses JF. Paecilomyces javanicus endocarditis of native and pros-thetic aortic valve. Am J Clin Pathol. 1984;82:247-52.
6. Kalish SB, Goldschmidt R, Li C, Knop R, Cook FV, Wilner G, et al. Infective endocarditis caused by Paecilomyces varioti. Am J Clin Pathol. 1982;78:249-52.
7. Rubinstein E, Noriega ER, Simberkoff MS, Holzman R, Rahal JJ. Fungal endocarditis: Analysis of 24 cases and review of the literature. Medicine. 1975;54: 331-44.
8. Uys CJ, Don PA, Schrire V, Barnard CN. Endocarditis following cardiac surgery due to the fungus Paecilomyces. S Afr Med J. 1963;37:1276-80.
9. Silver MD, Tuffnell PG, Bigelow WG. Endocarditis caused by Paecilomyces varioti affecting an aortic valve allograft. J Thorac Cardiovasc Surg. 1971;61:278-81.
10. Haldane EV, MacDonald JL, Gittens WO, Yuce K, van Rooyen CE. Prosthetic valvular endocarditis due to the fungus Paecilomyces. Can Med Assoc J. 1974;111:963-8.
11. McClellan JR, Hamilton JD, Alexander JA, Wolfe WG, Reed JB. Paecilomyces varioti endocarditis on a prosthetic aortic valve. J Thorac Cardiovasc Surg. 1976;71:472-5.
12. Wang SM, Shieh CC, Liu CC. Successful treatment of Paecilomyces variotii splenic abscesses: a rare complication in a previously unrecognized chronic granulomatous disease child. Diagn Microbiol Infect Dis. 2005;53:149-52.
13. Chamilos G, Kontoyiannis DP. Voriconazole-resistant disseminated Paecilomyces variotii infection in a neutropenic patient with leukaemia on voriconazole prophylaxis. J Infect. 2005;51:e225-8.
2. Joachim H, Polayes SH. Subacute endocarditis and systemic mycosis. JAMA. 1940;115:205-8.
3. Koelle WA, Pastor B. Candida albicans endocarditis after aortic valvulotomy. N Engl J Med. 1956;255:997-9.
4. Pierrotti LC, Baddour LM. Fungal endocarditis, 1995-2000. Chest. 2002;122:302-10.
5. Allevato PA, Ohorodnik JM, Mezger E, Eisses JF. Paecilomyces javanicus endocarditis of native and pros-thetic aortic valve. Am J Clin Pathol. 1984;82:247-52.
6. Kalish SB, Goldschmidt R, Li C, Knop R, Cook FV, Wilner G, et al. Infective endocarditis caused by Paecilomyces varioti. Am J Clin Pathol. 1982;78:249-52.
7. Rubinstein E, Noriega ER, Simberkoff MS, Holzman R, Rahal JJ. Fungal endocarditis: Analysis of 24 cases and review of the literature. Medicine. 1975;54: 331-44.
8. Uys CJ, Don PA, Schrire V, Barnard CN. Endocarditis following cardiac surgery due to the fungus Paecilomyces. S Afr Med J. 1963;37:1276-80.
9. Silver MD, Tuffnell PG, Bigelow WG. Endocarditis caused by Paecilomyces varioti affecting an aortic valve allograft. J Thorac Cardiovasc Surg. 1971;61:278-81.
10. Haldane EV, MacDonald JL, Gittens WO, Yuce K, van Rooyen CE. Prosthetic valvular endocarditis due to the fungus Paecilomyces. Can Med Assoc J. 1974;111:963-8.
11. McClellan JR, Hamilton JD, Alexander JA, Wolfe WG, Reed JB. Paecilomyces varioti endocarditis on a prosthetic aortic valve. J Thorac Cardiovasc Surg. 1976;71:472-5.
12. Wang SM, Shieh CC, Liu CC. Successful treatment of Paecilomyces variotii splenic abscesses: a rare complication in a previously unrecognized chronic granulomatous disease child. Diagn Microbiol Infect Dis. 2005;53:149-52.
13. Chamilos G, Kontoyiannis DP. Voriconazole-resistant disseminated Paecilomyces variotii infection in a neutropenic patient with leukaemia on voriconazole prophylaxis. J Infect. 2005;51:e225-8.
How to Cite
1.
Senior JM, Saldarriaga C. Endocarditis due to infection by Paecilomyces variotii. Biomed. [Internet]. 2009 Jun. 1 [cited 2025 Apr. 4];29(2):177-80. Available from: https://revistabiomedicaorg.biteca.online/index.php/biomedica/article/view/19
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