Isolated Aspergillosis Myocardial Abscesses in a Liver-Transplant Patient
Author(s) -
KimDiêp DangTran,
V. Chabbert,
Laure Esposito,
Céline GuilbeauFrugier,
Fabrice Dédouit,
Lionel Rostaing,
Hervé Rousseau,
Phillippe Otal,
Nassim Kamar
Publication year - 2014
Publication title -
case reports in transplantation
Language(s) - English
Resource type - Journals
eISSN - 2090-6943
pISSN - 2090-6951
DOI - 10.1155/2014/418357
Subject(s) - aspergillosis , aspergillus fumigatus , medicine , antifungal , complication , magnetic resonance imaging , liver transplantation , abscess , liver abscess , surgery , cardiac magnetic resonance , aspergillus , transplantation , radiology , immunology , dermatology , microbiology and biotechnology , biology
Cardiac abscess is an uncommon and fatal complication after transplantation. We report a case of an initially isolated aspergillosis myocardial abscess diagnosed by cardiac magnetic resonance imaging (CMRI). At that time, there was no other biological evidence or other extracardiac manifestations. A three-month course of dual antifungal therapy followed by a single antifungal therapy was empirically given. Six month after admission, Aspergillus fumigatus was isolated for the first time and the patient deceased from a disseminated aspergillosis.
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