Fungal Pacemaker Endocarditis Caused by Candida albicans: An Unusual Case

Fungal pacemaker endocarditis (FPE) is a rare but potentially fatal infection that can occur in patients with implanted cardiac devices. Diagnosing FPE can be difficult due to its subtle and non-specific symptoms, which often necessitate heightened clinical awareness to identify. Management typically involves removal of the infected device combined with antifungal therapy. We describe a 79-year-old female patient who developed <i>Candida albicans</i> endocarditis involving a pacemaker lead, successfully managed through coordinated surgical extraction of the device and systemic antifungal therapy.

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Journal
Cureus
Published
2025-11-25
DOI
https://doi.org/10.7759/cureus.97787
Primary Topic
Antifungal resistance and susceptibility
Type
article
Field-Weighted Citation Impact
0.00
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article

Fungal Pacemaker Endocarditis Caused by Candida albicans: An Unusual Case

Catarina Oliveira, N. Oliveira, Tânia Batista, Elisa Veigas et al.
Cureus
Antifungal resistance and susceptibility
article

Fungal Pacemaker Endocarditis Caused by Candida albicans: An Unusual Case

Catarina Oliveira, N. Oliveira, Tânia Batista, Elisa Veigas, Sofia Camões
article en

Abstract

Fungal pacemaker endocarditis (FPE) is a rare but potentially fatal infection that can occur in patients with implanted cardiac devices. Diagnosing FPE can be difficult due to its subtle and non-specific symptoms, which often necessitate heightened clinical awareness to identify. Management typically involves removal of the infected device combined with antifungal therapy. We describe a 79-year-old female patient who developed <i>Candida albicans</i> endocarditis involving a pacemaker lead, successfully managed through coordinated surgical extraction of the device and systemic antifungal therapy.

CureusVol. 17(11)
Administração Regional de Saúde de Lisboa e Vale do Tejo (PT)
Openalex Percentile: Top 57%
Antifungal resistance and susceptibility
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