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The Journal of Thoracic and Cardiovascular Surgery, Vol 71, 472-475, Copyright © 1976 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Paecilomyces varioti endocarditis on a prosthetic aortic valve

JR McClellan, JD Hamilton, JA Alexander, WG Wolfe and JB Reed

Fungal endocarditis following prosthetic valve surgery has assumed increased importance as a cause of postoperative death. We present, to our knowledge, the first case of the fungus Paecilomyces varioti producing endocarditis on a prosthetic aortic valve. This seems to be an extremely indolent organism which exhibits an apparent response to antibiotic therapyl. In vitro evidence suggests that this fungus is sensitive to attainable serum levels of both 5-fluorocytosine and amphotericin B. However, after viewing the extracted valve and the devastating embolic phenomenon in our patient, we believe that medical therapy alone would not suffice. Thus we suggest that prompt valve replacement be performed in future cases.

This article has been cited by other articles:

				C. Aguilar, I. Pujol, J. Sala, and J. Guarro Antifungal Susceptibilities of Paecilomyces Species Antimicrob. Agents Chemother., July 1, 1998; 42(7): 1601 - 1604. [Abstract] [Full Text]