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A Case of Scopulariopsis brevicaulis Endocarditis with Mycotic Aneurysm in an Immunocompetent Host
Joint Authors
Cawcutt, Kelly
Baddour, Larry M.
Burgess, Mary
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-03-17
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Scopulariopsis is a genus of mold that is usually associated with onychomycosis and rarely causes complicated infection in immunocompetent persons.
We describe a case of an immunocompetent 65-year-old male with a history of mitral valve repair with prosthetic ring placement who developed acute left posterior knee pain.
Imaging showed a left popliteal artery aneurysm and thrombus, and further evaluation with transesophageal echocardiogram demonstrated two large, mobile mitral valve vegetations.
He underwent debridement and replacement of the mitral valve, followed by debridement of the left popliteal artery with peroneal artery bypass.
The intraoperative cultures grew Scopulariopsis brevicaulis.
Due to the resistant nature of the organism, he was initially treated with combination antifungals including liposomal amphotericin B, caspofungin, and voriconazole and was continued on chronic suppression with posaconazole with no evidence of recurrence.
Scopulariopsis is a rare cause of fungal endocarditis.
Treatment of Scopulariopsis endocarditis is challenging and is not well understood due to its rarity.
American Psychological Association (APA)
Cawcutt, Kelly& Baddour, Larry M.& Burgess, Mary. 2015. A Case of Scopulariopsis brevicaulis Endocarditis with Mycotic Aneurysm in an Immunocompetent Host. Case Reports in Medicine،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058925
Modern Language Association (MLA)
Cawcutt, Kelly…[et al.]. A Case of Scopulariopsis brevicaulis Endocarditis with Mycotic Aneurysm in an Immunocompetent Host. Case Reports in Medicine No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1058925
American Medical Association (AMA)
Cawcutt, Kelly& Baddour, Larry M.& Burgess, Mary. A Case of Scopulariopsis brevicaulis Endocarditis with Mycotic Aneurysm in an Immunocompetent Host. Case Reports in Medicine. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058925
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058925