Aspergillus Fungal Mass Detected by Transesophageal Echocardiography

Alam, Mohsin; Higgins, Robert; Alam, Zarina; Janakiraman, Nalini; Gorman, Mark

doi:10.1016/s0894-7317(98)70127-0

Cited by 16 publications

(10 citation statements)

References 6 publications

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“…[10,11,9] In most cases, diagnosed as FE, clinical presentations are large vegetations seen in echocardiography and the absence of positive blood cultures for typical bacterial agents. [5] In our case, an evident mass in right atrium, originating from right side of atrial septum and extanding to right ventricular cavity through tricuspit valve was detected in transthoracic echocardiography.…”

Section: Discussionmentioning

confidence: 99%

Right atrial aspergilloma mimicking atrial mixomax

Kolbakir¹,

Balaban²,

Baysal³

2016

ejcm

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Infective endocarditis is a serious but relatively rare infection that is associated with high morbidity and mortality rates. Aspergillus endocarditis is an uncommon entity and invasive cardiac aspergillosis is a severe and extremely life threatening disease. Prolonged use of intravascular catheters, anatomical cardiac conditions, exposure to multiple broad-spectrum antibiotics, intravenous drug abuse, and previous history of surgery are the most common risk factors of fungemia and fungal endocarditis. Diagnosis is based on the isolation of etiologic agents from cardiac and blood samples or specimens from other sterile sites or positive histopathological findings of pathologic specimens. Echocardiographic findings of endocardial involvement can lead to diagnosis. Echocardiographically, differencial diagnosis of tumor extensions, especially myxoma, atipically located bacterial vegetations, thrombus or fungal masses is very difficult as thrombi and infective verrus can mimic myxomas. Treatment of fungal endocarditis only with antifungal agents is generally unsuccessful and additional surgical intervention is usually required. In this case report we present an fungal endocarditis caused by Aspergillus species that mimicked an atrial myxoma echocardiographically in a patient who had a history of treatment with wide spectrum antibiotics for a long time. We suggest that patients who had broad spectrum antibiotic treatment for a long time should be scanned for fungal infections and if intracardiac mass is determined, fungal endocarditis should be considered in differential diagnosis. Keywords:

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Section: Discussionmentioning

confidence: 99%

Right atrial aspergilloma mimicking atrial mixomax

Kolbakir¹,

Balaban²,

Baysal³

2016

ejcm

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“…Fungal masses have been reported in the myocardium, 20 pleural cavity, 21 in a peritoneal dialysis catheter, 22 paranasal air sinuses 23 and are well recognized in the urinary tract 24 –26 . Biliary tract obstruction secondary to a fungal mass in the biliary tree in association with biliary stasis 27 –29 has been reported.…”

Section: Discussionmentioning

confidence: 99%

Fungal ball of the oesophagus

Sutcliffe

Hughes

Winslet

1999

Diseases of the Esophagus

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“…Zu einer frühzeitigen Diagnose hätte möglicherweise transoesophageale Echokardiographie (TEE), die der transthorakalen Echokardiographie bei beatmeten Patienten deutlich überlegen ist, beigetragen. Eine Endokarditis mit Vegetationen an den Herzklappen [3,12] ist durch diese Untersuchungsmethode leicht nachweisbar. Bei wiederholten Untersuchungen ist über eine Zunahme der Dicke der Ventrikelwand, hervorgerufen durch das entzündliche Ödem, eine Myokarditis nachweisbar [13].…”

Section: Diskussionunclassified

Abszedierende und nekrotisierende Aspergillusmyokarditis bei einem chirurgischen Intensivpatienten - ein seltenes Ereignis

Fösel

Gauer²,

Eisenmann³

et al. 2003

Anasthesiol Intensivmed Notfal

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The case of an 89 year old patient is reported, in whom an aspergillus myocarditis was unexpectedly found at autopsy. Preoperatively, the patient showed no risk factors for an invasive mycosis. 5 days after uncomplicated surgery he developed septic shock due to peritonitis. After surgery and intensive care therapy the patient recovered initially. 23 days after the first operation the patient suddenly developed catecholamin-resistant myocardial failure and died. Ten days before, aspergillus spec. was found in a specimen of bronchial secretion. This finding was interpreted as colonisation and not treated.

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Aspergillus Fungal Mass Detected by Transesophageal Echocardiography

Cited by 16 publications

References 6 publications

Right atrial aspergilloma mimicking atrial mixomax

Right atrial aspergilloma mimicking atrial mixomax

Fungal ball of the oesophagus

Abszedierende und nekrotisierende Aspergillusmyokarditis bei einem chirurgischen Intensivpatienten - ein seltenes Ereignis

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