Case Reports in Transplantation (Jan 2014)

Isolated Aspergillosis Myocardial Abscesses in a Liver-Transplant Patient

  • Kim-Diêp Dang-Tran,
  • Valérie Chabbert,
  • Laure Esposito,
  • Céline Guilbeau-Frugier,
  • Fabrice Dédouit,
  • Lionel Rostaing,
  • Hervé Rousseau,
  • Phillippe Otal,
  • Nassim Kamar

DOI
https://doi.org/10.1155/2014/418357
Journal volume & issue
Vol. 2014

Abstract

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Cardiac abscess is an uncommon and fatal complication after transplantation. We report a case of an initially isolated aspergillosis myocardial abscess diagnosed by cardiac magnetic resonance imaging (CMRI). At that time, there was no other biological evidence or other extracardiac manifestations. A three-month course of dual antifungal therapy followed by a single antifungal therapy was empirically given. Six month after admission, Aspergillus fumigatus was isolated for the first time and the patient deceased from a disseminated aspergillosis.