A Rare Case of Aspergillus Pericarditis with Associated Myocardial Abscess and Echocardiographic Response to Therapy

Authors

Daniel F. Kupsky
Khaldoon Alaswad, Henry Ford HealthFollow
Bobak T. Rabbani, Henry Ford HealthFollow

Recommended Citation

Kupsky DF, Alaswad K, Rabbani BT. A rare case of aspergillus pericarditis with associated myocardial abscess and echocardiographic response to therapy. Echocardiography. 2016 Jul;33(7):1085-1088.

Document Type

Article

Publication Date

7-1-2016

Publication Title

Echocardiography (Mount Kisco, N.Y.)

Abstract

Myocardial abscess is an extremely rare entity and is often deadly in nature. We present a case of a patient with recent orthotopic liver transplant, on immunosuppression, who presented with cardiac tamponade due to Aspergillus fumigatus pericarditis and associated myocardial abscess. The diagnosis was made based on computed tomography imaging, culture of pericardial fluid for Aspergillus, and transthoracic echocardiography. The patient received antifungal therapy with clinical improvement and documented reduction in abscess size based on repeat echocardiogram. Aspergillus myocardial abscess is an extremely rare diagnosis but should be considered in an immunosuppressed patient presenting with pericardial effusion or ventricular mass.

PubMed ID

27009593

Volume

33

Issue

7

First Page

1085

Last Page

1088