Invasive aspergillosis presenting as an intracardiac mass in an immunocompetent host

BMJ Case Rep. 2016 Mar 4:2016:bcr2015213205. doi: 10.1136/bcr-2015-213205.

Abstract

Invasive aspergillosis is a severe fungal infection that primarily affects immunocompromised patients. We report a case of invasive aspergillosis presenting as a febrile respiratory infection with a cardiac mass in an immunocompetent patient. Excision of the intracardiac mass followed by histopathological examination confirmed the diagnosis. The patient was managed with voriconazole, to which he responded well. Rare occurrence of an intracardiac mass with systemic aspergillosis in an immunocompetent host is discussed in this case report.

Publication types

  • Case Reports

MeSH terms

  • Administration, Intravenous
  • Antifungal Agents / administration & dosage
  • Aspergillosis / diagnosis*
  • Aspergillosis / drug therapy
  • Aspergillosis / microbiology
  • Aspergillosis / surgery
  • Aspergillus fumigatus / isolation & purification
  • Diagnosis, Differential
  • Echocardiography / methods
  • Heart Diseases / diagnostic imaging*
  • Heart Diseases / drug therapy
  • Heart Diseases / immunology
  • Heart Diseases / microbiology*
  • Humans
  • Immunocompetence
  • Male
  • Respiratory Tract Infections / diagnosis
  • Respiratory Tract Infections / immunology
  • Respiratory Tract Infections / microbiology
  • Treatment Outcome
  • Voriconazole / administration & dosage
  • Young Adult

Substances

  • Antifungal Agents
  • Voriconazole