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Multimodality Diagnosis Approach of Cardiac Aspergillosis
Author(s) -
El Ghannudi Soraya,
Imperiale Alessio,
Dégot Tristan,
Germain Philippe,
Trinh Annie,
Petean Roxana,
Le Van Quyen Paulette,
Chenard MariePierrette,
LetscherBru Valerie,
Kessler Romain,
Herbrecht Raoul
Publication year - 2016
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.13165
Subject(s) - aspergillosis , histopathology , medicine , aspergillus fumigatus , lung transplantation , pneumonia , lung , pathology , radiology , immunology
Mini‐Abstract A 56‐year‐old patient with a history of bilateral lung transplantation for idiopathic interstitial pneumonia not responding to corticosteroids therapy had a good initial postoperative outcome. One month later, subcutaneous nodules appeared and histopathology revealed septate hyphae in the nodules and Aspergillus fumigatus in bronchial lavage. FDG PET / CT and CMR revealed multiple left and right ventricles abscesses consistent with cardiac aspergillosis. The combination of FDG PET / CT and CMR was useful to detect the cardiac localization of systemic aspergillosis, to define the precise morphological details of myocardial lesions and to evaluate the response to treatment.