Contemporary Cleveland Clinic experience of fungal infective endocarditis: a focus on imaging and outcomes

We present the largest contemporary cohort study of fungal IE to date. Rates of complicated infection in fungal IE were high. Multimodality imaging with transesophageal echocardiography and computed tomography was critical in diagnosis. Although useful in identifying peripheral complications, nuclear studies may have lower sensitivity in identifying fungal IE, and further research is warranted in this population. While still elevated, 1-year mortality rates (30%) were significantly lower in our patient cohort than previously reported.

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Publication Details

Journal
European Heart Journal - Imaging Methods and Practice
Published
2025-10-01
DOI
https://doi.org/10.1093/ehjimp/qyaf143
Primary Topic
Antifungal resistance and susceptibility
Type
article
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article

Contemporary Cleveland Clinic experience of fungal infective endocarditis: a focus on imaging and outcomes

Alice Haouzi, Gösta Pettersson, Nabin K. Shrestha, Haytham Elgharably et al.
European Heart Journal - Imaging Methods and Practice
Antifungal resistance and susceptibility
article

Contemporary Cleveland Clinic experience of fungal infective endocarditis: a focus on imaging and outcomes

Alice Haouzi, Gösta Pettersson, Nabin K. Shrestha, Haytham Elgharably, Shinya Unai, Bo Xu, Steven M. Gordon, Yuichiro Okushi, Brian P. Griffin, Thomas G. Fraser, Marijan Koprivanac
article en

Abstract

We present the largest contemporary cohort study of fungal IE to date. Rates of complicated infection in fungal IE were high. Multimodality imaging with transesophageal echocardiography and computed tomography was critical in diagnosis. Although useful in identifying peripheral complications, nuclear studies may have lower sensitivity in identifying fungal IE, and further research is warranted in this population. While still elevated, 1-year mortality rates (30%) were significantly lower in our patient cohort than previously reported.

European Heart Journal - Imaging Methods and PracticeVol. 3(4)
Cleveland Clinic (US)
Openalex Percentile: Top 57%
Antifungal resistance and susceptibility
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