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Virchows Archiv

, Volume 429, Issue 2–3, pp 177–180 | Cite as

Aspergillus endocarditis, myocarditis and pericarditis complicating necrotizing fasciitis

Case report and subject review
  • C. Sergi
  • W. J. Hofmann
  • P. Sinn
  • P. A. Schnabel
  • H. F. Otto
  • J. Weitz
  • G. Otto
  • A. Eckart
Case Report

Abstract

A patient with Aspergillus endocarditis, myocarditis and pericarditis is described. A 55-year-old man developed necrotizing fasciitis of the lower abdominal wall, pelvis and right thigh. Despite aggressive surgical débridement and antibiotic coverage, the patient died of multisystem organ failure. Autopsy revealed Aspergillus thromboulcerative endocarditis, myocarditis and pericarditis, acute necrotizing fungal bronchopneumonia and mycotic dissemination to brain, kidney and thyroid gland. A review of the literature showed that in the absence of open-heart surgery Aspergillus endocarditis and myocarditis are very uncommon.

Key words

Necrotizing fasciitis Endocarditis Myocarditis Epicarditis Aspergillus 

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Copyright information

© Springer-Verlag 1996

Authors and Affiliations

  • C. Sergi
    • 1
  • W. J. Hofmann
    • 1
  • P. Sinn
    • 1
  • P. A. Schnabel
    • 1
  • H. F. Otto
    • 1
  • J. Weitz
    • 2
  • G. Otto
    • 2
  • A. Eckart
    • 3
  1. 1.Institute of PathologyUniversity of HeidelbergHeidelbergGermany
  2. 2.Department of SurgeryUniversity of HeidelbergHeidelbergGermany
  3. 3.Institute of NeuropathologyUniversity of HeidelbergHeidelbergGermany

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