Candida Right-Sided Infective Endocarditis

Right-sided infective endocarditis (RSIE) is relatively uncommon, and <i>Candida</i> endocarditis is also rare, with high morbidity and mortality. We report a case of <i>Candida</i> tricuspid valve IE in a 78-year-old man with a native valve and no history of intravenous drug use. He presented with cough, chills, and malaise, and two blood cultures were positive for <i>Candida albicans</i>. Transthoracic echocardiography (TTE) revealed a mobile mass on the tricuspid valve. He was treated with antifungal and antibiotic agents and discharged on day 39, but later died of aspiration pneumonia. <i>Candida</i> endocarditis should be considered in patients with risk factors such as prior abdominal surgery and recent antibiotic exposure. TTE is an essential diagnostic tool for patients with persistent systemic symptoms.