Candida sepsis with intramyocardial abscesses mimicking left ventricular noncompaction

Eur J Echocardiogr. 2004 Jan;5(1):76-8. doi: 10.1016/s1525-2167(03)00043-x.

Abstract

Left ventricular (LV) noncompaction is a rare abnormality characterized by more than three trabeculations protruding from the LV wall, distal to the papillary muscles and visible in one echocardiographic image plane. The intertrabecular spaces are perfused from the LV cavity, as visualized on color Doppler imaging. Differential diagnoses of LV noncompaction are intraventricular thrombi, false tendons, aberrant bands, intramyocardial hematoma, cardiac metastases and the apical type of hypertrophic cardiomyopathy. Intramyocardial abscesses have not been reported as a differential diagnosis of LV noncompaction. In the patient presented, cardiac microabscesses due to candida sepsis mimicked LV noncompaction and should be considered in the differential diagnosis of LV noncompaction.

Publication types

  • Case Reports

MeSH terms

  • Abscess / diagnosis
  • Abscess / diagnostic imaging*
  • Abscess / therapy
  • Candidiasis / complications
  • Candidiasis / diagnosis*
  • Cardiomyopathies / diagnosis
  • Cardiomyopathies / diagnostic imaging*
  • Cardiomyopathies / therapy
  • Combined Modality Therapy
  • Disease Progression
  • Echocardiography, Doppler
  • Fatal Outcome
  • Fungemia / complications
  • Fungemia / diagnosis*
  • Humans
  • Hypertrophy, Left Ventricular / diagnosis
  • Hypertrophy, Left Ventricular / diagnostic imaging*
  • Male
  • Middle Aged
  • Severity of Illness Index