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Candida parapsilosis tricuspid native valve endocarditis: 3-year follow-up after surgical treatment

Siyami Ersek Thoracic and Cardiovascular Surgery Center, Mutevelli Heyet Cad., Murat Sitesi. S Blok., D:13 34662 Kosuyolu/Istanbul, Turkey

*Corresponding author. Tel.: +90 505 5013844; fax: +90 216 3379719.

E-mail address: aumitgullu{at}yahoo.com (A.U. Gullu).

In non-addicted patients, several states such as alcoholism, previous valvular heart disease or prosthetic valve replacement, immunodeficiency states, prolonged intravenous hyperalimentation, permanent pacemakers, and some congenital heart diseases can provide the predisposing factors for tricuspid valve endocarditis. It is an extremely rare occurrence in patients with normal native cardiac valves. In this report, we present a case of a 67-year-old woman with tricuspid native valve endocarditis related to Candida parapsilosis which is a very rare cause of infective endocarditis and carries a high mortality risk. An operation was indicated for the patient due to persistent enlarging vegetation on tricuspid valve, severe tricuspid regurgitation, septic pulmonary emboli and finally uncompensated respiratory and heart failure. She underwent tricuspid valve replacement with bioprothesis three years ago and now she is in a satisfactory condition without any medical treatment.

Key Words: Tricuspid valve infection; Fungal endocarditis; Candida parapsilosis