Mycotic aneurysm complicating prosthetic valve endocarditis

A 62-year-old man underwent aortic xenograft valve replacement for treatment of severe congenital aortic valve stenosis. Nine months later the patient was admitted to a community hospital with recurrent fever. Blood cultures grew Candida albicans and an echocardiogram showed fine granular vegetations on the prosthetic valve leading to the diagnosis of candida endocarditis. Under standard antifungal …