First Reported Case of Candida dubliniensis Endocarditis Related to Implantable Cardioverter-Defibrillator
Joint Authors
Mohammedzein, Assad
Naguib, M. Tarek
Merza, Nooraldin
Lung, John
Saadaldin, Mazin
Bainum, Taryn B.
James, Shanna
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-01-17
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
A 36-year-old male presented to the ED with acute chronic hyponatremia found on routine weekly lab work with one-week history of generalized weakness, confusion, nausea/vomiting, and diarrhea.
The patient has nonischemic cardiomyopathy of unknown etiology diagnosed in his teens with an AICD device placed 8 years ago and receiving milrinone infusion 3 years ago via peripherally inserted central catheter (PICC) line.
Two sets of blood cultures grew Candida dubliniensis.
The patient was started on micafungin and the PICC line was removed and replaced with a central line.
A transthoracic echocardiogram (TEE) showed findings consistent with AICD lead involvement.
The patient was continued on treatment for fungal infective endocarditis and transferred to another hospital where he had successful AICD lead extraction.
Blood cultures upon transfer back to our facility were positive for methicillin-sensitive Staphylococcus aureus (MSSA).
This bacteremia was thought to be secondary to right-sided internal jugular (IJ) central line and resolved with line removal and initiation of intravenous (IV) cefazolin.
The patient was discharged on IV cefazolin and IV micafungin.
He had a LifeVest® until completion of his antibiotic course and a new AICD was placed.
American Psychological Association (APA)
Merza, Nooraldin& Lung, John& Bainum, Taryn B.& Mohammedzein, Assad& James, Shanna& Saadaldin, Mazin…[et al.]. 2020. First Reported Case of Candida dubliniensis Endocarditis Related to Implantable Cardioverter-Defibrillator. Case Reports in Cardiology،Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1146134
Modern Language Association (MLA)
Merza, Nooraldin…[et al.]. First Reported Case of Candida dubliniensis Endocarditis Related to Implantable Cardioverter-Defibrillator. Case Reports in Cardiology No. 2020 (2020), pp.1-9.
https://search.emarefa.net/detail/BIM-1146134
American Medical Association (AMA)
Merza, Nooraldin& Lung, John& Bainum, Taryn B.& Mohammedzein, Assad& James, Shanna& Saadaldin, Mazin…[et al.]. First Reported Case of Candida dubliniensis Endocarditis Related to Implantable Cardioverter-Defibrillator. Case Reports in Cardiology. 2020. Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1146134
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146134