Fungal endocarditis resembling primary cardiac malignancy in a patient with B-cell ALL with culture confirmation

Brad J. Girod, MD; Kip E. Guja; Guido Davidzon, MD; Francis Chan, MD, PhD; Evan Zucker, MD; Benjamin L. Franc, MD; Farshad Moradi, MD, PhD; Andrei Iagaru, MD; Carina Mari Aparici, MD

Radiology Case Reports (Feb 2020)

Fungal endocarditis resembling primary cardiac malignancy in a patient with B-cell ALL with culture confirmation

Brad J. Girod, MD,
Kip E. Guja,
Guido Davidzon, MD,
Francis Chan, MD, PhD,
Evan Zucker, MD,
Benjamin L. Franc, MD,
Farshad Moradi, MD, PhD,
Andrei Iagaru, MD,
Carina Mari Aparici, MD

Affiliations

Brad J. Girod, MD: School of Medicine, Stanford University Medical Center, 300 Pasteur Drive, Stanford, CA 94305, USA
Kip E. Guja: Division of Nuclear Medicine and Molecular Imaging, Stanford University Medical Center, 300 Pasteur Drive, Stanford, CA 94305, USA
Guido Davidzon, MD: Division of Nuclear Medicine and Molecular Imaging, Stanford University Medical Center, 300 Pasteur Drive, Stanford, CA 94305, USA
Francis Chan, MD, PhD: Division of Cardiovascular Imaging, Stanford University Medical Center, 300 Pasteur Drive, Stanford, CA 94305, USA
Evan Zucker, MD: Division of Cardiovascular Imaging, Stanford University Medical Center, 300 Pasteur Drive, Stanford, CA 94305, USA
Benjamin L. Franc, MD: Division of Nuclear Medicine and Molecular Imaging, Stanford University Medical Center, 300 Pasteur Drive, Stanford, CA 94305, USA
Farshad Moradi, MD, PhD: Division of Nuclear Medicine and Molecular Imaging, Stanford University Medical Center, 300 Pasteur Drive, Stanford, CA 94305, USA
Andrei Iagaru, MD: Division of Nuclear Medicine and Molecular Imaging, Stanford University Medical Center, 300 Pasteur Drive, Stanford, CA 94305, USA
Carina Mari Aparici, MD: Division of Nuclear Medicine and Molecular Imaging, Stanford University Medical Center, 300 Pasteur Drive, Stanford, CA 94305, USA; Corresponding author.

Journal volume & issue: Vol. 15, no. 2
pp. 117 – 119

Abstract

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Fungal endocarditis is a rare subtype of infective endocarditis that often presents with nonspecific symptoms in patients with complex medical histories, making diagnosis challenging. Patients with a history of ALL may present with congestive heart failure, chemo-induced cardiomyopathy, acute coronary syndrome, cardiac lymphomatous metastasis, or infections. We present the case of a patient with a history of ALL who presented with acute coronary syndrome and imaging concerning for primary cardiac lymphoma, when in fact the patient ended up suffering from culture proven fungal endocarditis. Keywords: Fungal endocarditis, Primary cardiac lymphoma

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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