ISSN: 2155-9899
Ying Zhu
Indiana
Case Report
Candidemia with Prosthetic Aortic Graft: Case Report
Author(s): Dan Sun, Hongmei Jiao, Jiali Du, Ying Zhu, Zhifang Fu, Zeng Zeng, Bo Zheng and Alexa Lean
Dan Sun, Hongmei Jiao, Jiali Du, Ying Zhu, Zhifang Fu, Zeng Zeng, Bo Zheng and Alexa Lean
Infections of prosthetic aortic grafts status post-acute aortic dissection with Candida albicans (C. albicans) are rare. The gold standard of treatment for aortic graft infection is a combination of surgical resection and lifelong antimicrobial drug therapy, however postoperative mortality rates remain high. Here we present a 44-year-old man who presented with 2 months of fever, painful microembolic lesions localized to his right hypothenar eminence, right conjunctival hyperemia, right neural hearing loss, and a systolic murmur radiating from the aorta towards the neck. C. albicans was isolated from 3 separate blood cultures. Computed tomography (CT) displayed distinct thrombotic material affixed to the aortic prosthetic graft in the brachiocephalic artery. The patient was then treated with intravenous (IV) fluconazole for 8 weeks. During the treatment perio.. View More»
DOI:
10.4172/2155-9899.1000484