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Aspergillus endocarditis, myocarditis and pericarditis complicating necrotizing fasciitis

Case report and subject review

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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.

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Authors and Affiliations

  1. Institute of Pathology, University of Heidelberg, D-69120, Heidelberg, Germany

    C. Sergi, W. J. Hofmann, P. Sinn, P. A. Schnabel & H. F. Otto

  2. Department of Surgery, University of Heidelberg, Heidelberg, Germany

    J. Weitz & G. Otto

  3. Institute of Neuropathology, University of Heidelberg, Heidelberg, Germany

    A. Eckart

Authors
  1. C. Sergi
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  2. W. J. Hofmann
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  3. P. Sinn
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  4. P. A. Schnabel
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  5. H. F. Otto
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  6. J. Weitz
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  7. G. Otto
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  8. A. Eckart
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Dedicated to Prof. Dr. G. Seifert, emeritus Director of the Institute of Pathology, University of Hamburg, on the occasion of his 75th birthday

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Sergi, C., Hofmann, W.J., Sinn, P. et al. Aspergillus endocarditis, myocarditis and pericarditis complicating necrotizing fasciitis. Vichows Archiv A Pathol Anat 429, 177–180 (1996). https://doi.org/10.1007/BF00192441

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  • DOI: https://doi.org/10.1007/BF00192441

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