Blastocyst or Blastomycosis?: A Rare Presentation of Disseminated Blastomycosis With Cardiac Involvement in Pregnancy

Jackson Walker; Nicholas Biondi; Erica Pivato; Sneha Sharma; Prajakta Phatak; Manisha Das

doi:10.1016/j.jaccas.2022.09.008

Blastocyst or Blastomycosis?: A Rare Presentation of Disseminated Blastomycosis With Cardiac Involvement in Pregnancy

JACC Case Rep. 2022 Nov 3:13:101638. doi: 10.1016/j.jaccas.2022.09.008. eCollection 2023 May 3.

Authors

Jackson Walker¹, Nicholas Biondi², Erica Pivato², Sneha Sharma¹, Prajakta Phatak², Manisha Das²

Affiliations

¹ Department of Internal Medicine, University of Cincinnati Medical Center, Cincinnati, Ohio, USA.
² Department of Cardiology, University of Cincinnati Medical Center, Cincinnati, Ohio, USA.

Abstract

Disseminated blastomycosis with cardiac manifestations is exceedingly rare. Here we present the first known case of disseminated, cardiac blastomycosis in a pregnant patient. Antifungal medications and a multidisciplinary, nonsurgical approach were successful in eradicating the fungal cardiac mass and in preventing vertical transmission to the fetus. (Level of Difficulty: Advanced.).

Keywords: cardiac blastomycosis; cardiac magnetic resonance; echocardiography; endocarditis; pregnancy.

Publication types

Case Reports