Candida albicans Endocarditis in a Child With Acute Lymphoblastic Leukemia: A Rare Case Report

Fungal endocarditis is rare and has a mortality rate of over 80%. It must be suspected in all immunocompromised patients with culture-negative sepsis and failure of antibiotic treatment. In such cases, echocardiography can be diagnostic.We herein describe a child with Candida albicans endocarditis presenting with heart failure, severe jaundice, and anasarca. A large obstructive mass of the tricuspid valve was detected by echocardiography, and blood culture confirmed the diagnosis. The patient was successfully treated with the surgical excision of the vegetation and intravenous liposomal amphotericin B for 3 weeks. (Iranian Heart Journal 2022; 23(1): 220-222)