Candida tropicalis endocarditis on the aortic valve with coexisting meningitis in a patient with multiple risk factors – What to do?

A 65-year-old female patient with Candida tropicalis infective endocarditis on the aortic valve underwent aortic valve replacement. In the postoperative period a head computer tomography revealed a left temporal arachnoid cyst, diagnosed as fungal meningitis. We outline a successful treatment approach for this high-risk patient. •Survival of the patient with C. tropicalis IE and meningitis is possible.•The surgical procedure carried a 43 % mortality risk according to the EuroSCORE II.•Candidemia itself presents a substantial mortality rate, reaching 42 %.