Authors

Ghaidaa Almuhammadi, College of Medicine, Taibah University, Medina, Saudi Arabia.Follow
Rawia Alzughaibi, College of Medicine, Taibah University, Medina, Saudi Arabia.Follow
Lamar Amer, College of Medicine, Taibah University, Medina, Saudi Arabia
Talal Alzahrani, Internal Medicine ,Taibah University, Medina, Saudi Arabia.

Challenges in Diagnosing and Treating Fungal Endocarditis: A Case Report of Recurrent Candida Endocarditis in a Hemodialysis Patient

Abstract

Fungal endocarditis (FE) is a rare yet life-threatening condition, especially in hemodialysis (HD) patients with indwelling long-term catheters. Symptoms often overlap with non-fungal infective endocarditis, making diagnosis difficult. As FE incidence increases, healthcare providers face challenges in diagnosing and managing this severe condition. Early suspicion of FE is crucial for patients with long-term catheters. We reported a 23-year-old male with end-stage renal disease (ESRD) on HD that developed FE affecting the tricuspid valve, requiring valve replacement and anti-fungal medication. Despite these interventions, he had recurrent Candida prosthetic endocarditis(CPE). Currently, he is receiving anti-fungal medication, with plans for a third surgery.

Recommended Citation

Almuhammadi, Ghaidaa; Alzughaibi, Rawia; Amer, Lamar; and Alzahrani, Talal (2025) "Challenges in Diagnosing and Treating Fungal Endocarditis: A Case Report of Recurrent Candida Endocarditis in a Hemodialysis Patient," Journal of the Saudi Heart Association: Vol. 37 : Iss. 1 , Article 4.
Available at: https://doi.org/10.37616/2212-5043.1414

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