Liang J.-D.CHI-TAI FANGYEE-CHUN CHENSHAN-CHWEN CHANGKWEN-TAY LUH2020-12-302020-12-3020010732-8893https://www.scopus.com/inward/record.uri?eid=2-s2.0-0034898484&doi=10.1016%2fS0732-8893%2801%2900252-8&partnerID=40&md5=364da1b936c994e6b79360f79638deabhttps://scholars.lib.ntu.edu.tw/handle/123456789/535868A 56-year-old woman, with underlying rheumatic heart disease status post mitral valve replacement, presented with fever, low back pain radiating to right leg, and congestive heart failure. Magnetic resonance imaging detected an L5-S1 spinal epidural abscess. A vegetation on prosthetic mitral valve was found by transesophageal echocardiography. Cultures of epidural aspirate, surgical specimen, and blood all grew Candida albicans. She received surgical drainage of the spinal epidural abscess and i.v. amphotericin B 1 mg/kg/day for eight weeks. Clinical symptoms improved gradually and she was discharged without neurologic sequelae. She remained well and continued to lead an active life two years after discharge. ? 2001 Elsevier Science Inc. All rights reserved.[SDGs]SDG3amphotericin B; fluconazole; article; bacterial endocarditis; Candida albicans; congestive heart failure; controlled study; epidural abscess; fever; fungus culture; heart valve prosthesis; human; leg; low back pain; mitral valve replacement; nuclear magnetic resonance imaging; priority journal; rheumatic heart disease; surgical drainage; transesophageal echocardiography; vegetation; Amphotericin B; Candida albicans; Candidiasis; Endocarditis; Epidural Abscess; Female; Fluconazole; Follow-Up Studies; Heart Valve Prosthesis; Humans; Lumbar Vertebrae; Middle Aged; Spondylolisthesis; Treatment Outcomejournal article10.1016/S0732-8893(01)00252-811502380