Implantable cardioverter-defibrillator endocarditis secondary to Candida albicans

The implantable cardioverter-defibrillator (ICD) represents an important ad vance in the treatment of ventricular arrhythmias, but infection has remain ed a serious complication of device implantation. Fungal infections associa ted with these devices are uncommon, with only 4 cases previously reported. We describe a case of ICD-associated endocarditis caused by Candida albica ns that was successfully treated with complete device explantation and prol onged antifungal therapy, and we review the features of ICD-related fungal infections.