TORULOPSIS glabrata is a fungal organism of the family Cryptococcaceae with low pathogenicity for man. It is a frequent saprophyte and can be cultured from the stool, skin, mouth, and vagina in healthy persons. Infections due to T glabrata occur principally in patients whose immune systems are suppressed, have indwelling venous or urinary catheters, or have been treated with broad-spectrum antibiotics.1 Documented cases of endocarditis due to T glabrata are uncommon; predisposing causes and clinical features have not been reviewed.
A patient had tricuspid valve endocarditis secondary to T glabrata. Her illness followed abdominal surgery and was characterized by 33 months of episodic chills and fever. Other patients with T glabrata endocarditis have been described with features remarkably similar to those of our patient.2,3 These similarities prompted this case report and review of the literature.
Report of a Case
A 63-year-old diabetic woman had undergone a uretero-ureterostomy for