We report a case of endocarditis months after a Bentall procedure. This was caused by Candida Lusitaniae, in an immunocompetent patient with a recent SARS-CoV-2 infection. The patient underwent a new Bentall procedure. SARS-CoV-2 has been associated with co-infection by Candida species since the beginning of the pandemic, nevertheless, Candida Lusitaniae remains a very uncommon causative agent of prosthetic endocarditis. We suggest a possible role of the SARS-CoV-2, which may have delayed the diagnosis of endocarditis and the appropriate therapy.
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References
1.
SongGLiangGLiuW. Fungal co-infections associated with global COVID-19 pandemic: a clinical and diagnostic perspective from China. Mycopathologia. 2020;185(4):599-606.
2.
HolzschuDLPlesleyHLMirandaMPhaffHJ. Identification of Candida Lusitaniae as an opportunistic yeast in humans. J Clin Microbiol. 1979;10(2):202-205.
3.
MichelRGKinasewitzGTDrevetsDALevinGHWardenDW. Prosthetic valve endocarditis caused by Candida Lusitaniae, un uncommon pathogen: a case report. J Med Case Rep. 2009;3:7611.
4.
WendtBHaglandLRazaviARathR. Candida Lusitaniae an uncommon cause of valve endocarditis. Clin Infec Dis. 1998;26(3):769-770.
5.
HabibGLancellottiPAntunesMJ, et al.2015 ESC guidelines for the management of infective endocarditis: the task force for the management of infective endocarditis of the European society of cardiology (ESC). Eur Heart J. 2015;36(44):3075-3128.
6.
ArastehfarACarvalhoANguyenMH, et al.COVID-19-Associated candidiasis (CAC): an underestimated complication in the absence of immunological predispositions?J Fungi. 2020;6(4):211.
7.
HayesDERheeDWHisamotoK, et al.Two cases of acute endocarditis misdiagnosed as COVID-19 infection. Echocardiography. 2021;38(5):798-804.
8.
CosynsBMotocAArregleFHabibG. A plea not to forget infective endocarditis in COVID-19 era. JACC: Cardiovasc Imaging. 2020;13(11):2470-2471.
