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European Journal of Echocardiography 2004 5(2):156-158; doi:10.1016/j.euje.2003.09.001
© 2004 by European Society of Cardiology
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Copyright © 2003, The European Society of Cardiology

Native aortic valve vegetative endocarditis with Cunninghamella

Nehal Nikhilesh Mehta, Jeanine Romanelli and Martin Graham St. John Sutton*

Hospital of the University of Pennsylvania, 3400 Spruce Street, 9 Gates Pavilion, Philadelphia, PA 19103, USA

Received 16 May 2003; received in revised form 1 September 2003; accepted after revision 4 September 2003.

* Corresponding author. Tel.: +1-215-662-2285; fax: +1-215-349-8190. suttonm{at}mail.med.upenn.edu


  Abstract

Cunninghamella bertholletiae is a rare Mucor species that is seldom the cause for endocarditis of prosthetic heart valves. It is even a more uncommon cause of endocarditis of native heart valves. We present a case of Cunninghamella endocarditis of a native aortic valve in an immuno-compromised patient, diagnosed from tissue culture obtained at the time of surgery. There have only been two other reported cases of native valve endocarditis with a Mucor species, and in those cases, the diagnoses were made post-mortem.

Keywords: endocarditis; fungus; native-valve; mucormycosis; Cunninghamella


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