Candida Auris Endocarditis: An Enigmatic Case from Diagnosis to Management

Khalid Almramhi; Khalid  Al-Ebrahim; Ahmed Elassal

doi:10.35810/ects.v5i1.247

Khalid Almramhi Department of surgery, King Abdulaziz University Hospital, King Abdulaziz University, Jeddah, Saudi Arabia
Khalid Al-Ebrahim Department of surgery, King Abdulaziz University Hospital, King Abdulaziz University, Jeddah, Saudi Arabia
Ahmed Elassal Department of surgery, King Abdulaziz University Hospital, King Abdulaziz University, Jeddah, Saudi Arabia

DOI: https://doi.org/10.35810/ects.v5i1.247

Keywords: Candida Auris, Infective endocarditis, Severe mitral regurgitation, Central venous catheters, Candidemia

Abstract

Background: The most common diagnosed cause of invasive candidiasis is Candida Albicans but according to literature a lot of confirmed cases of Candida Auris become emerging multidrug-resistant infections. In a Japanese patient in 2009, Candida Auris was first described. This fungus is attributed to many outbreaks in different countries. It is a highly resistant variant and one of the most violent emerging pathogens.

Case presentation: We present a case of endocarditis caused by Candida arius that resulted in a large vegetation on the mitral valve with severe mitral regurgitation.

Conclusion: Management of endocarditis by collaboration between surgical and non-surgical facilities may ensure a good outcome even in the case of rare violent infections.