Native Valve Candida metapsilosis Endocarditis Following a Ruptured Appendix: A Case Report

Abstract

Candida parapsilosis complex has been further divided into C. parapsilosis, C. orthopsilosis, and C. metapsilosis. C. metapsilosis is considered to be the least virulent fungi of the complex. Candida endocarditis is uncommon but is associated with a very high mortality rate. Prosthetic or previously damaged valves act as common targets, but native, structurally normal valves are seldom affected.  We hereby present a case of Candida metapsilosis endocarditis involving a native aortic valve in an immunocompetent 55-year-old male who was successfully treated with surgical valve replacement and antifungal therapy.