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Saudi J Med Med Sci. 2019 Sep-Dec;7(3):175-178. doi: 10.4103/sjmms.sjmms_129_17. Epub 2019 Feb 8.

Unusual Presentation of Aspergillus Pericarditis: A Case Report.

Author information

1
College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
2
Department of Surgery, College of Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Al Khobar, Saudi Arabia.

Abstract

Cardiac aspergillosis is a rare fungal infection that affects the heart and/or pericardium of immunocompromised patients. Here, the authors report a rare case of a 36-year-old female with aspergillus pericarditis. The patient was diagnosed with infective endocarditis and splenic infarction and treated with emergency splenectomy and double-valve replacement surgery. During the surgery, a fibropurulent pericardial tissue was found and excised. The culture report of the tissue confirmed the diagnosis of aspergillus pericarditis. The patient was successfully managed with intravenous voriconazole. Aspergillus do not usually infect the pericardium and such infections are rarely detected premortem, especially during a cardiac surgery. In this report, the infection was accidentally detected during the double-valve surgery. The authors conclude that because of its nonspecific clinical manifestations, a high degree of clinical suspicion is required for the early diagnosis and treatment of aspergillus pericarditis.

KEYWORDS:

Aspergillus pericarditis; corticosteroid; double-valve replacement surgery; infective endocarditis; voriconazole

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