Fungal endocarditis resembling primary cardiac malignancy in a patient with B-cell ALL with culture confirmation

Brad J Girod; Kip E Guja; Guido Davidzon; Francis Chan; Evan Zucker; Benjamin L Franc; Farshad Moradi; Andrei Iagaru; Carina Mari Aparici

doi:10.1016/j.radcr.2019.10.022

Fungal endocarditis resembling primary cardiac malignancy in a patient with B-cell ALL with culture confirmation

Radiol Case Rep. 2019 Nov 19;15(2):117-119. doi: 10.1016/j.radcr.2019.10.022. eCollection 2020 Feb.

Authors

Brad J Girod¹, Kip E Guja², Guido Davidzon², Francis Chan³, Evan Zucker³, Benjamin L Franc², Farshad Moradi², Andrei Iagaru², Carina Mari Aparici²

Affiliations

¹ School of Medicine, Stanford University Medical Center, 300 Pasteur Drive, Stanford, CA 94305, USA.
² Division of Nuclear Medicine and Molecular Imaging, Stanford University Medical Center, 300 Pasteur Drive, Stanford, CA 94305, USA.
³ Division of Cardiovascular Imaging, Stanford University Medical Center, 300 Pasteur Drive, Stanford, CA 94305, USA.

Abstract

Fungal endocarditis is a rare subtype of infective endocarditis that often presents with nonspecific symptoms in patients with complex medical histories, making diagnosis challenging. Patients with a history of ALL may present with congestive heart failure, chemo-induced cardiomyopathy, acute coronary syndrome, cardiac lymphomatous metastasis, or infections. We present the case of a patient with a history of ALL who presented with acute coronary syndrome and imaging concerning for primary cardiac lymphoma, when in fact the patient ended up suffering from culture proven fungal endocarditis.

Keywords: Fungal endocarditis; Primary cardiac lymphoma.

Publication types

Case Reports