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  • Title: Candida albicans spinal epidural abscess secondary to prosthetic valve endocarditis.
    Author: Liang JD, Fang CT, Chen YC, Chang SC, Luh KT.
    Journal: Diagn Microbiol Infect Dis; 2001 Jul; 40(3):121-3. PubMed ID: 11502380.
    Abstract:
    A 56-year-old woman, with underlying rheumatic heart disease status post mitral valve replacement, presented with fever, low back pain radiating to right leg, and congestive heart failure. Magnetic resonance imaging detected an L5-S1 spinal epidural abscess. A vegetation on prosthetic mitral valve was found by transesophageal echocardiography. Cultures of epidural aspirate, surgical specimen, and blood all grew Candida albicans. She received surgical drainage of the spinal epidural abscess and i.v. amphotericin B 1 mg/kg/day for eight weeks. Clinical symptoms improved gradually and she was discharged without neurologic sequelae. She remained well and continued to lead an active life two years after discharge.
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