Abstract
Fungal endocarditis is rare and is usually caused by Aspergillus and Candida species. We present a patient with endocarditis caused by Scopulariopsis brevicaulis. The patient had a history of mitral valve disease and, 1 year earlier, had undergone valvuloplasty with the placement of a prosthetic Duran ring in the mitral valve position. S. brevicaulis was cultured from samples of a large vegetation on the mitral valve apparatus. The mitral valve was replaced with a St. Jude mechanical prosthesis. The patient was treated with amphotericin B but was later switched to oral itraconazole when antibiotic tests indicated susceptibility to that agent. We believe this is the 1st reported case of endocarditis caused by Scopulariopsis.
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- Abdel-Hafez A. I., el-Sharouny H. M. Keratinophilic and saprophytic fungi isolated from students' nails in Egypt. J Basic Microbiol. 1990;30(1):3–11. [PubMed] [Google Scholar]
- Colmers R. A., Irniger W., Steinberg D. H. Cryptococcus neoformans endocarditis cured by amphotericin B. JAMA. 1967 Mar 6;199(10):762–764. [PubMed] [Google Scholar]
- Grieble H. G., Rippon J. W., Maliwan N., Daun V. Scopulariopsosis and hypersensitivity pneumonitis in an addict. Ann Intern Med. 1975 Sep;83(3):326–329. doi: 10.7326/0003-4819-83-3-326. [DOI] [PubMed] [Google Scholar]
- Hall W. J., 3rd Penicillium endocarditis following open heart surgery and prosthetic valve insertion. Am Heart J. 1974 Apr;87(4):501–506. doi: 10.1016/0002-8703(74)90176-8. [DOI] [PubMed] [Google Scholar]
- Jaffey P. B., Haque A. K., el-Zaatari M., Pasarell L., McGinnis M. R. Disseminated Conidiobolus infection with endocarditis in a cocaine abuser. Arch Pathol Lab Med. 1990 Dec;114(12):1276–1278. [PubMed] [Google Scholar]
- Kriesel J. D., Adderson E. E., Gooch W. M., 3rd, Pavia A. T. Invasive sinonasal disease due to Scopulariopsis candida: case report and review of scopulariopsosis. Clin Infect Dis. 1994 Aug;19(2):317–319. doi: 10.1093/clinids/19.2.317. [DOI] [PubMed] [Google Scholar]
- Mehta G. Aspergillus endocarditis after open heart surgery: an epidemiological investigation. J Hosp Infect. 1990 Apr;15(3):245–253. doi: 10.1016/0195-6701(90)90032-j. [DOI] [PubMed] [Google Scholar]
- Morrison V. A., Haake R. J., Weisdorf D. J. The spectrum of non-Candida fungal infections following bone marrow transplantation. Medicine (Baltimore) 1993 Mar;72(2):78–89. doi: 10.1097/00005792-199303000-00002. [DOI] [PubMed] [Google Scholar]
- Neglia J. P., Hurd D. D., Ferrieri P., Snover D. C. Invasive Scopulariopsis in the immunocompromised host. Am J Med. 1987 Dec;83(6):1163–1166. doi: 10.1016/0002-9343(87)90961-2. [DOI] [PubMed] [Google Scholar]
- Phillips P., Wood W. S., Phillips G., Rinaldi M. G. Invasive hyalohyphomycosis caused by Scopulariopsis brevicaulis in a patient undergoing allogeneic bone marrow transplant. Diagn Microbiol Infect Dis. 1989 Sep-Oct;12(5):429–432. doi: 10.1016/0732-8893(89)90114-4. [DOI] [PubMed] [Google Scholar]
- Polacheck I., Salkin I. F., Kitzes-Cohen R., Raz R. Endocarditis caused by Blastoschizomyces capitatus and taxonomic review of the genus. J Clin Microbiol. 1992 Sep;30(9):2318–2322. doi: 10.1128/jcm.30.9.2318-2322.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Summerbell R. C., Kane J., Krajden S. Onychomycosis, tinea pedis and tinea manuum caused by non-dermatophytic filamentous fungi. Mycoses. 1989 Dec;32(12):609–619. doi: 10.1111/j.1439-0507.1989.tb02192.x. [DOI] [PubMed] [Google Scholar]
- Welty F. K., McLeod G. X., Ezratty C., Healy R. W., Karchmer A. W. Pseudallescheria boydii endocarditis of the pulmonic valve in a liver transplant recipient. Clin Infect Dis. 1992 Nov;15(5):858–860. doi: 10.1093/clind/15.5.858. [DOI] [PubMed] [Google Scholar]