Endocarditis due to Rhodotorula mucilaginosa in a kidney transplanted patient: case report and review of medical literature

Andrea Maria Cabral; Suzimar da Siveira Rioja; Fabio Brito-Santos; Juliana Ribeiro Peres da Silva; Maria Luíza MacDowell; Marcia S. C. Melhem; Ana Luíza Mattos-Guaraldi; Raphael Hirata Junior; Paulo Vieira Damasco

doi:10.1099/jmmcr.0.005119

Volume 4, Issue 11

Case Report

Open Access

Endocarditis due to Rhodotorula mucilaginosa in a kidney transplanted patient: case report and review of medical literature

Andrea Maria Cabral¹, Suzimar da Siveira Rioja¹, Fabio Brito-Santos^2,3, Juliana Ribeiro Peres da Silva⁴, Maria Luíza MacDowell⁴, Marcia S. C. Melhem⁵, Ana Luíza Mattos-Guaraldi¹, Raphael Hirata Junior¹ and Paulo Vieira Damasco^1,4
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Affiliations: ¹ Faculdade de Ciências Médicas - Universidade do Estado do Rio de Janeiro - UERJ, Rio de Janeiro, Brazil ² Laboratório de Micologia do Instituto Nacional de Infectologia (INI), Evandro Chagas, FIOCRUZ, Rio de Janeiro, Brazil ³ Laboratório Central-Hospital Universitário Pedro Ernesto-UERJ, Rio de Janeiro, Brazil ⁴ Universidade Federal do Estado do Rio de Janeiro -UNIRIO, Rio de Janeiro, Brazil ⁵ Instituto Adolfo Lutz, São Paulo, Brazil
*Correspondence: Paulo Vieira Damasco, [email protected]
Published: 02 November 2017 https://doi.org/10.1099/jmmcr.0.005119

Abstract

Introduction. Endocarditis caused by yeasts is currently an emerging cause of infective endocarditis and, when accompanied byfever of unknown origin, is more severe since interferes with proper diagnosis and endocarditis treatment.

Case presentation. The Rio de Janeiro Infective Endocarditis Study Group reports a case of infectious endocarditis (IE) with negative blood cultures in a 45-year-old white female resident in Rio de Janeiro, Brazil, previously submitted to kidney transplantation. After diagnosis and intervention, the valve culture revealed Rhodotorula mucilaginosa. The clinical aspects and overview of endocarditis caused by Rhodotorula spp. demonstrated that R. muscilaginosa have been isolated from the last IE cases from kidney transplanted patients.

Conclusion. Though most of the patients (in literature) recovered well from endocarditis caused by Rhodotorula spp., physicians must be aware for diagnosis of fungemia and fungal treatment in kidney transplanted patients suffering of fever of unknown origin in the modern immunosuppressive treatment.

Received: 06/09/2017
Accepted: 26/09/2017
Published Online: 02/11/2017

Keyword(s): immunocompromised , infective endocarditis , kidney transplantation and Rhodotorula mucilaginosa

This is an open access article under the terms of the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.

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Endocarditis due to Rhodotorula mucilaginosa in a kidney transplanted patient: case report and review of medical literature

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Volume 4, Issue 11

Case Report

Open Access

Endocarditis due to Rhodotorula mucilaginosa in a kidney transplanted patient: case report and review of medical literature

Abstract

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