Publications [#140764] of John D Hamilton

Papers Published

1. JR McClellan, JD Hamilton, JA Alexander, WG Wolfe, JB Reed, Paecilomyces varioti endocarditis on a prosthetic aortic valve., The Journal of thoracic and cardiovascular surgery, UNITED STATES, vol. 71 no. 3 (March, 1976), pp. 472-5, ISSN 0022-5223
   (last updated on 2007/12/26)

   Abstract:
   Fungal endocarditis following prosthetic valve surgery has assumed increased importance as a cause of postoperative death. We present, to our knowledge, the first case of the fungus Paecilomyces varioti producing endocarditis on a prosthetic aortic valve. This seems to be an extremely indolent organism which exhibits an apparent response to antibiotic therapyl. In vitro evidence suggests that this fungus is sensitive to attainable serum levels of both 5-fluorocytosine and amphotericin B. However, after viewing the extracted valve and the devastating embolic phenomenon in our patient, we believe that medical therapy alone would not suffice. Thus we suggest that prompt valve replacement be performed in future cases.

   Keywords:
   Aortic Valve • Aortic Valve Insufficiency • Endocarditis • Heart Valve Prosthesis • Humans • Male • Middle Aged • Mitosporic Fungi* • Mycoses • Thrombosis • adverse effects* • etiology • microbiology* • pathogenicity • surgery*