Endocarditis due to infection by Paecilomyces variotii

Abstract

Fungal endocarditis is a cardiac complication that has been increasing throughout the world. We present a case of infective endocarditis by Paecilomyces variotii in a male patient with a prosthetic mitral valve. Successful treatment consisted of administration of amphotericin B (total dose 3670 mg) and mitral valve replacement. Only six cases have been reported previously, with a 100% mortality rate.