Carol Chen-Scarabelli, MSN; Tiziano M. Scarabelli, MD, PhD
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Chen-Scarabelli C., Scarabelli T.; Fungal Endocarditis due to Scopulariopsis. Ann Intern Med. 2003;139:W-77. doi: 10.7326/0003-4819-139-9-200311040-00022-w1
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Published: Ann Intern Med. 2003;139(9):W-77.
TO THE EDITOR:
Fungal endocarditis is a rare condition usually caused by Aspergillus and Candida species (1). We describe a young woman with fungal endocarditis due to the Scopulariopsis species.
Case Report: A 38-year-old woman had a history of rheumatic fever and several mitral valve replacement surgeries (1987, 1994, and 2002) for mitral regurgitation. A mechanical mitral valve was placed during surgery in April 2002, and no intraoperative complications were noted. After surgery, however, the patient reported right upper-extremity weakness and blurred vision. Right brachial plexopathy was diagnosed, and gabapentin treatment was initiated. A computed tomography of the brain was ordered to determine the cause of blurred vision. No evidence of infarct or hemorrhage was noted. An ophthalmologic evaluation revealed left inferior quadrant amblyopia ex anopsia in both eyes, as well as a visual field defect consistent with right parietal infarct. The patient remained stable and was discharged with a prescription for gabapentin for neuralgia and warfarin for anticoagulation of her mechanical valve. She was also given outpatient appointments with a neurologist and an ophthalmologist.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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