Acute limb ischemia due to Candida tropicalis mitral valve endocarditis

Acute limb ischemia due to Candida tropicalis mitral valve endocarditis

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Fungal endocarditis is a very rare entity and is associated with high morbidity and Electrolyte mortality rates.We report a 68-year-old man with fungal valvular endocarditis over the mitral valve with a large vegetation located over the anterior leaflet, presenting initially as acute limb ischemia of the left lower limb.Immediate embolectomy was performed for revascularization of the left lower limb.

Pathologic section of the retrieved femoral embolectomy specimen revealed aggregated fungal spores and METHYLCOBALAMIN hyphae.Blood cultures were positive for Candida tropicalis.We should be alert to treat patients with acute arterial occlusion of the extremities and to investigate the underlying possible fatal etiology.