J Cardiovasc Ultrasound.  2007 Jun;15(2):43-45.

Lethal Aspergillus Endocarditis after Heart Transplantation

Affiliations
  • 1Cardiology Division, Yonsei University College of Medicine, Seoul, Korea. smkang@yumc.yonsei.ac.kr

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.

Keyword

Endocarditis; Heart transplantation

MeSH Terms

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
Amphotericin B
Anti-Bacterial Agents
Cyclosporine
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