A RARE CASE OF FATAL FUNGAL MITRAL VALVE ENDOCARDITIS

With the continuing rise in the number of immune-compromised patients, the incidence of invasive mycoses has increased. There are various patterns of fungal infections. Because of limitations in ante mortem clinical diagnosis owing to lack of sensitive diagnostic tools, information regarding frequency and pathogenesis of fungal infections is largely dependent on autopsy. We report a case of 50 year old diabetic female with lower limb cellulitis died of subarachnoid haemorrhage which showed mixed cirrhosis and fungal endocarditis. This presence of fungal endocarditis in a non diseased heart with no major risk factor like previous cardiac surgery or illicit drug abuse, but along with cirrhosis and diabetes is rare. Also fungal endocarditis is commonly associated with hemorrhagic stroke but subarachnoid haemorrhage is very rare.