Resumen

HERRERA-SALGADO, Jesser M. et al. Fungal multivalvular endocarditis: literature review and case report. Rev. med. Hosp. Gen. Méx. [online]. 2025, vol.88, n.4, pp.223-229.  Epub 20-Feb-2026. ISSN 2524-177X.  https://doi.org/10.24875/hgmx.24000055.

The incidence of fungal endocarditis (FEs) has decreased in most developed countries with access to harm-reduction policies and with improved infection control procedures during cardiac surgery. Use of specific blood culture bottles for diagnosis of FEs has decreased due to the optimization of media and automated culture systems. New antifungal agents available since the early 2000s may represent a dramatic improvement for FEs. The optimum antifungal therapy still remains debatable. Treating Candida endocarditis can be difficult because the Candida species can form biofilms on native and prosthetic heart valves. Combined treatment appears superior to monotherapy. Combination of antifungal therapy and surgical debridement might bring about better prognosis. In this clinical case report, we aim to make a literature review and present a challenging and rare clinical case.

Palabras llave : Endocarditis; Multivalvular endocarditis; Fungal cardiac infections.

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