La enfermedad meningocócica invasiva es una infección bacteriana asociada a elevadas tasas de mortalidad y a secuelas en sobrevivientes. En Perú, aunque la incidencia es baja, la presentación de casos en áreas urbanas densamente pobladas evidencia la necesidad de una vigilancia epidemiológica continua para identificar y prevenir brotes, y determinar la verdadera carga de la enfermedad. En este reporte presentamos el caso de una persona con diagnóstico de VIH, sin vacunación contra Neisseria meningitidis serogrupo C, quien desarrolló una infección invasiva por esta bacteria, pero que afortunadamente respondió favorablemente al tratamiento antibiótico. Este caso recalca la necesidad urgente de incorporar la vacuna contra el meningococo en el calendario nacional, garantizando su disponibilidad para toda la población vulnerable y evitando casos graves como el descrito.

Candida endocarditis is a very serious manifestation of candida infections, and it has increased in incidence over the past years. Of these, C. parapsilosis has been described as a cause of endocarditis in native valves of intravenous drug users and prosthetic valves. We report the case of a female that developed a cerebrovascular accident secondary to emboli from aortic prosthetic valve C. parapsilosis endocarditis, despite apparently normal echocardiography. She received antifungal therapy without surgical intervention.

Candida endocarditis is a very serious manifestation of candida infections, and it has increased in incidence over the past years. Of these, C. parapsilosis has been described as a cause of endocarditis in native valves of intravenous drug users and prosthetic valves. We report the case of a female that developed a cerebrovascular accident secondary to emboli from aortic prosthetic valve C. parapsilosis endocarditis, despite apparently normal echocardiography. She received antifungal therapy without surgical intervention.