Aspergillus Flavus Endocarditis of the Native Mitral Valve in a Bone Marrow Transplant Patient
| Autor: | Abdurrahman Ekinci, Nursen Tanrikulu, Mazlum Sahin, Ergun Demirsoy, Tolga Demir, Mehmet Umit Ergenoglu |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Antifungal Agents medicine.drug_class medicine.medical_treatment Antibiotics Graft vs Host Disease Mitral valve medicine Humans Endocarditis Bone Marrow Transplantation business.industry Mortality rate Immunosuppression Endocarditis Bacterial Articles General Medicine medicine.disease Surgery Transplantation Parenteral nutrition medicine.anatomical_structure Heart Valve Prosthesis Myelodysplastic Syndromes Infective endocarditis Mitral Valve Tomography X-Ray Computed business Aspergillus flavus |
| Zdroj: | The American Journal of Case Reports |
| ISSN: | 1941-5923 |
| Popis: | Patient: Male, 36 Final Diagnosis: Aspergillus flavus endocarditis Symptoms: Malaise • fatigue and dyspnea Medication: — Clinical Procedure: Mitral vale replacemnet Specialty: Cardiology Objective: Rare disease Background: Infective endocarditis due to Aspergillus species is an uncommon infection with a high mortality rate. It mostly occurs after the implantation of prosthetic heart valves. Parenteral nutrition, immunosuppression, broad-spectrum antibiotic regimens, and illegal intravenous drug use are the risk factors for developing infection. Case Report: We report a case of Aspergillus flavus native mitral valve endocarditis in a patient who had allogeneic stem cell transplantation in the past due to myelodysplastic syndrome. Conclusions: Although it is rare and there is limited experience available with the diagnosis and treatment, early recognition and therapeutic intervention with systemic antifungal therapy and aggressive surgical intervention are critical to prevent further complications that may eventually lead to death. In addition, better novel diagnostic tools are needed to facilitate more accurate identification of patients with invasive Aspergillus and to permit earlier initiation of antifungal treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|