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Candida Endocarditis in Patients with Candidemia: A Single-Center Experience of 14 Cases
Mycopathologia ( IF 5.5 ) Pub Date : 2020-10-09 , DOI: 10.1007/s11046-020-00492-3
Florian Hitzenbichler 1 , Tobias Joha 1 , Michaela Simon 2 , Jirka Grosse 3 , Karin Menhart 3 , Dirk Hellwig 3 , Daniele Camboni 4 , Sabine Sag 5 , Can Martin Sag 5 , Frank Hanses 1 , Bernd Salzberger 1 , Arno Mohr 1
Affiliation  

A retrospective, single-center analysis of 14 cases of Candida endocarditis (from 355 candidemia cases during the years 2012–2019) revealed a high in-hospital mortality (57.1%), a high proportion of healthcare-associated infections (13/14) and a high treatment preference for echinocandins. Transthoracic echocardiography and 18F-FDG PET/CT had a sensitivity of 54.5% and 57.1%, respectively. Patients were older than previously described and most patients with Candida endocarditis had persistent candidemia for ≥ 3 days despite antifungal therapy.



中文翻译:

念珠菌血症患者念珠菌心内膜炎:14例单中心经验

对 14 例念珠菌心内膜炎(2012 年至 2019 年期间 355 例念珠菌血症)进行的回顾性单中心分析显示,院内死亡率高(57.1%),医疗相关感染比例高(13/14)以及对棘白菌素的高度治疗偏好。经胸超声心动图和18 F-FDG PET/CT 的敏感性分别为 54.5% 和 57.1%。患者比之前描述的年龄大,大多数念珠菌心内膜炎患者尽管接受了抗真菌治疗,但仍有持续 ≥ 3 天的念珠菌血症。

更新日期:2020-10-11
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