Völker H, Sigmund M, Kropff M, Hürter T, Kemnitz J, Kirkpatrick C J, Hanrath P
Medizinische Klinik I, RWTH Aachen.
Z Kardiol. 1991 May;80(5):359-62.
This report describes the case of a 56-year-old patient, who died 53 days after orthotopic heart transplantation due to myocarditis caused by infection with Aspergillus fumigatus and Toxoplasma gondii. Aspergillosis was diagnosed by transthoracic needle aspiration of a pulmonary infiltration. Endomyocardial biopsy showed toxoplasma pseudocysts. Autopsy revealed myocardial infection with both infectious agents. Despite specific therapy, myocarditis determined the fatal outcome in this case. The value of invasive techniques for specific diagnosis of infectious diseases in immunocompromised patients is discussed.
本报告描述了一名56岁患者的病例，该患者在原位心脏移植术后53天因感染烟曲霉和弓形虫导致心肌炎而死亡。通过经胸针吸肺部浸润灶诊断为曲霉菌病。心内膜活检显示有弓形虫假囊肿。尸检发现心肌感染了这两种病原体。尽管进行了特异性治疗，但心肌炎仍是该病例的致命结局。文中讨论了侵入性技术在免疫功能低下患者传染病特异性诊断中的价值。
