Newly detailed in today’s New England Journal of Medicine is the case of a 76-year-old man with a history of congestive heart failurethis link opens in a new tab, a condition when your heart is too weak to pump blood as it should. The patient went to the emergency room reporting shortness of breath that was getting worse.
As doctors from University Hospital in Bern, Switzerland, detail in the NEJM case report, nine months prior, the man had had a surgical procedure called a transcatheter aortic-valve replacementthis link opens in a new tab, which is intended to repair a damaged heart valve by placing a prosthetic valve within the existing valve.
When doctors examined the man, they also found that he had a temperature of 102.2 degrees Fahrenheit, and a cardiac exam revealed a systolic heart murmur, sounds that are made when the heart contracts. These sounds are graded on a scalethis link opens in a new tab of one to six—six being the loudest. His was a five.
After a chest X-ray, doctors suspected the patient had pulmonary edemathis link opens in a new tab, when the lungs have excess fluid. But when they got the lab results back from his bloodwork, they saw he had a high white blood cell count (meaning there are a lot of disease-fighting cells coursing through the body) and high levels of C-reactive protein, which is a marker for inflammation. Blood tests revealed the problem: a type of yeast called Candida parapsilosis.
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