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Abstract
Introduction:
Fungal endocarditis is a rare cause of infective endocarditis, and Aspergillus spp. account for up to 30 % of all cases. Risk factors include intravenous drug use, immunosuppression, malignancy and the presence of prosthetic valves.
Case presentation:
We present a case of A. fumigatus endocarditis in a patient without any known or described risk factors.
Conclusion:
Diagnosis of Aspergillus endocarditis requires a high clinical index of suspicion, given the initial non-specific presentation, and treatment may require both medical and surgical therapies to ensure improved outcomes, but mortality rates still approach 80 %. Voriconazole remains the antifungal agent of choice.
- Received:
- Accepted:
- Published Online:
© 2016 The Authors