Lethal Aspergillus Endocarditis after Heart Transplantation.
- Author:
Eun Young PARK
1
;
Seok Min KANG
;
Chan Ho KIM
;
Dong Hyun KIM
;
Dong Hyuck NAM
;
Chul Min AHN
;
Boyoung JOUNG
;
Namsik CHUNG
Author Information
1. Cardiology Division, Yonsei University College of Medicine, Seoul, Korea. smkang@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Endocarditis;
Heart transplantation
- MeSH:
Acute Kidney Injury;
Amphotericin B;
Anti-Bacterial Agents;
Aspergillus*;
Cyclosporine;
Echocardiography;
Endocarditis*;
Fever;
Follow-Up Studies;
Heart Transplantation*;
Heart*;
Humans;
Male;
Mitral Valve;
Renal Dialysis;
Young Adult
- From:Journal of Cardiovascular Ultrasound
2007;15(2):43-45
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of a 21-year-old male who died from lethal Aspergillus endocarditis 3 months after heart transplantation. He underwent heart transplantation in other country. He was treated with hemodialysis for acute renal failure due to cyclosporine and then transferred to our hospital. When he complained high fever, follow-up echocardiography showed a large mobile echogenic mass attached to posterior mitral valve leaflet. The result of serum Aspergillus galactomannan antigen assay was positive. He was empirically treated with intravenous amphotericin B and antibiotics. However, he was rapidly deteriorated and died on hospital day 3.
