中国真菌学杂志2025,Vol.20Issue(3):284-288,5.
白念珠菌致心内膜炎合并肺栓塞1例
A case report of endocarditis combined with pulmonary embolism caused by Candida albicans
摘要
Abstract
A 52-year-old female patient was reported with a chief complaint of'fever,cough and sputum production for more than 10 days.'Blood cultures(twice)showed positive results for Candida albicans.CT pulmonary angiography re-vealed partial branch embolism in the right upper lobe and left lower lobe arteries;the right pulmonary artery and middle and lower lobe arteries showed low-density filling defects,suggesting embolism.The patient was diagnosed with endocarditis caused by Candida albicans complicated with pulmonary embolism.After oral administration of fluconazole for antifungal treatment and warfarin for anticoagulation therapy,follow-up outpatient examinations showed a reduction in vegetation size and improvement in clinical symptoms.Given the rarity of this condition and the lack of clear guidelines regarding the timing and protocol for anticoagulant therapy,this case is presented to provide reference for clinical practice.关键词
白念珠菌/感染性心内膜炎/氟康唑Key words
Candida albicans/infective endocarditis/fluconazole分类
医药卫生引用本文复制引用
解沛涛,蔚丽君,张娜,郝海玲,田雪梅,卢立山..白念珠菌致心内膜炎合并肺栓塞1例[J].中国真菌学杂志,2025,20(3):284-288,5.基金项目
鄂尔多斯市卫生健康委员会医学重点学科建设项目[鄂卫健发(2020)230号] (2020)
鄂尔多斯市中心医院科研立项青年项目(EY2024QN07) (EY2024QN07)
内蒙古医学科学院公立医院科研联合基金科技项目重点项目(2024GLLH1288) (2024GLLH1288)