Why the study?
Fungal pacemaker endocarditis is a rare, potentially fatal infection with subtle and non-specific symptoms that make diagnosis difficult.
Fungal pacemaker endocarditis caused by Candida albicans can be successfully managed with device extraction and systemic antifungal therapy.
Case of successful Candida pacemaker lead endocarditis; leaves open optimal management strategies pending higher-level evidence.
Fungal pacemaker endocarditis (FPE) is a rare but potentially fatal infection that can occur in patients with implanted cardiac devices. Diagnosing FPE can be difficult due to its subtle and non-specific symptoms, which often necessitate heightened clinical awareness to identify. Management typically involves removal of the infected device combined with antifungal therapy. We describe a 79-year-old female patient who developed Candida albicans endocarditis involving a pacemaker lead, successfully managed through coordinated surgical extraction of the device and systemic antifungal therapy.
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Camões et al. (2025) studied this question.
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