Micafungin for Candida Albicans Pacemaker-Associated Endocarditis: A Case Report and Review of the Literature

被引:15
作者
Tascini, Carlo [1 ]
Bongiorni, Maria Grazia [2 ]
Tagliaferri, Enrico [1 ,3 ]
Di Paolo, Antonello [4 ]
Flammini, Sarah [1 ]
Soldati, Ezio [2 ]
Leonildi, Alessandro [1 ]
Di Cori, Andrea [2 ]
Menichetti, Francesco [1 ]
机构
[1] Azienda Osped Univ Pisana, UO Malattie Infett, Pisa, Italy
[2] Azienda Osped Univ Pisana, UO Cardiol 2, Pisa, Italy
[3] Nuovo Santa Chiara Hosp, UO Malattie Infett, I-56100 Pisa, Italy
[4] Univ Pisa, Div Farmacol & Chemioterapia, Pisa, Italy
关键词
Micafungin; Candida; Endocarditis; Pacemaker; IN-VITRO ACTIVITY; ANTIFUNGAL COMBINATIONS; SURGICAL-MANAGEMENT; PERMANENT PACEMAKER; DEVICE INFECTIONS; AMPHOTERICIN-B; EXTRACTION; BIOFILMS; CASPOFUNGIN; SOCIETY;
D O I
10.1007/s11046-012-9591-2
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
We report on the treatment with micafungin of a pacemaker-associated endocarditis due to Candida albicans. Antifungal therapy was able to reduce vegetation size from 5 to 1 cm making possible the transvenous removal of the device without a high risk of pulmonary embolism. Noteworthy, a high micafungin concentration was documented into the lead vegetation (10 mu g/g of vegetation tissue) and this may have contributed to the striking size reduction of vegetation.
引用
收藏
页码:129 / 134
页数:6
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