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Here, we present the case of a 33\u2010year\u2010old patient who presented with fevers and acute lower limb ischemia requiring a 4\u2010compartment fasciotomy caused by septic emboli from <jats:italic>Candida albicans<\/jats:italic> endocarditis. The patient had a large vegetation in the ascending aorta associated with a mycotic aneurysm, which is an exceedingly rare location for a vegetation. We also review the literature and summarize the typical echocardiographic appearance and vegetation locations in fungal endocarditis.<\/jats:p>","DOI":"10.1111\/echo.14233","type":"journal-article","created":{"date-parts":[[2018,12,28]],"date-time":"2018-12-28T18:01:01Z","timestamp":1546020061000},"page":"401-405","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Fungal prosthetic aortic valve endocarditis and endarteritis: An unusual cause of aortic root vegetations"],"prefix":"10.1111","volume":"36","author":[{"given":"Herman","family":"Carneiro","sequence":"first","affiliation":[{"name":"Department of Medicine Boston Medical Center Boston University School of Medicine  Boston Massachusetts"},{"name":"Department of Cardiology VA Boston Healthcare System  West Roxbury Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3533-6332","authenticated-orcid":false,"given":"Ravi","family":"Rasalingam","sequence":"additional","affiliation":[{"name":"Department of Cardiology VA Boston Healthcare System  West Roxbury Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,12,28]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"44","article-title":"Experimental bacterial endocarditis. 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