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.

Micafungin for Candida albicans pacemaker-associated endocarditis: a case report and review of the literature

Bongiorni, Maria Grazia
Primo
;
Tagliaferri, Enrico;Di Paolo, Antonello;Di Cori, Andrea;
2013-01-01

Abstract

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.
2013
Tascini, Carlo; Bongiorni, Maria Grazia; Tagliaferri, Enrico; Di Paolo, Antonello; Flammini, Sarah; Soldati, Ezio; Leonildi, Alessandro; Di Cori, Andrea; Menichetti, Francesco
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11568/1159197
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