|
KMID : 1149520190030040125
|
|
Cardiovasclar Imaging Asia
2019 Volume.3 No. 4 p.125 ~ p.128
|
|
|
Multimodality Imaging Features of Cardiac Fungal Infection: A Case Report
|
|
Talib Norain
Mohammed Yusri
Abas Sharipah Intan S. SY.
Ramli Kama Azira Awang
|
|
|
Abstract
|
|
|
|
We present a 38-year-old man with hepatitis C and history of intravenous drug use who presented with fever and hemoptysis. Initial chest CT showed bronchiectasis with an intracavitary lesion consistent with invasive lung aspergillosis in the background of a previously treated tuberculosis infection. Subsequently, he developed cardiac failure symptoms, and transthoracic echocardiogram revealed a left ventricle (LV) apical lesion mimicking a thrombus or vegetation. However, cardiac MRI suggested a fungating apical lesion in the LV, which showed gradual enhancement at the peripheral lesion while sparing the central core in the first-pass perfusion sequence. The long inversion time (600 milliseconds) of the late gadolinium sequence confirmed presence of persistent peripheral enhancement suggestive of an infective focus rather than a thrombus. The intracardiac lesion was compatible with a left ventricular fungal lesion or aspergilloma consistent with a positive serum galactomannan assay. The patient refused surgical intervention. Despite a long course of antifungal therapy, he succumbed to death three weeks after completion of treatment due to disease complications.
|
|
|
KEYWORD
|
|
|
Cardiac aspergilloma, Magnetic resonance, Computer tomography, Echocardiography
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
|
|