Case Report

Favourable outcome of Fusarium prosthetic valve endocarditis in a patient with an Ebstein anomaly

Scott G. Lee-Jones, Stefan Van der Westhuizen, Johannes Taljaard, Nelesh P. Govender, Rubina Razack
Southern African Journal of Infectious Diseases | Vol 40, No 1 | a699 | DOI: https://doi.org/10.4102/sajid.v40i1.699 | © 2025 Scott G. Lee-Jones, Stefan van der Westhuizen, Johannes Taljaard, Nelesh P. Govender, Rubina Razack | This work is licensed under CC Attribution 4.0
Submitted: 11 October 2024 | Published: 11 February 2025

About the author(s)

Scott G. Lee-Jones, Division of Infectious Diseases, Department of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
Stefan Van der Westhuizen, Division of Cardiothoracic Surgery, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
Johannes Taljaard, Division of Infectious Diseases, Department of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
Nelesh P. Govender, School of Pathology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; and Medical Research Council Centre for Medical Mycology, University of Exeter, Exeter, United Kingdom
Rubina Razack, Division of Anatomical Pathology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa

Abstract

Fungal endocarditis is rare, challenging to diagnose and treat and associated with high mortality. We describe a case of Fusarium solani endocarditis in a patient with Ebstein’s anomaly with a favourable outcome.

Contribution: We emphasise that surgical intervention with source control of the infective vegetation is still the mainstay of treatment and highlight the importance of submitting infected source material for histology, culture and molecular testing to identify the causative organism.


Keywords

endocarditis; invasive fungi; Fusarium; fusariosis; Ebstein anomaly

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