Fibrosing Mediastinitis Caused by Histoplasmosis in an Adolescent

Autor: Madhusudan Ganigara, MD, John J. Flores, MD, Jeremy Slivnick, MD, Luis Landeras, MD, Narutoshi Hibino, MD, PhD, Barbara Hendrickson, MD, Aliya Husain, MD, Luca Vricella, MD, Michael G. Earing, MD
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: JACC: Case Reports, Vol 29, Iss 2, Pp 102161- (2024)
Druh dokumentu: article
ISSN: 2666-0849
DOI: 10.1016/j.jaccas.2023.102161
Popis: Fibrosing mediastinitis (FM) is a rare, potentially progressive disease resulting from an idiosyncratic immune response to a variety of stimuli that lead to fibrous infiltration of the mediastinum and possible narrowing of the bronchovascular structures. We report an unusual case of FM in a pediatric patient presenting as myopericarditis and progressing to pericardial thickening and encasement of the mediastinal vascular structures needing surgical intervention. Imaging, including transthoracic echocardiography, cardiac computed tomography, and cardiac magnetic resonance played a crucial role in the diagnosis, assessment, and follow-up. Contrast-enhanced computed tomography can be especially helpful to demonstrate potential findings associated with FM.
Databáze: Directory of Open Access Journals