Russack V
Department of Pathology, University of California, San Diego.
Am J Cardiovasc Pathol. 1990;3(3):275-9.
Aspergillus terreus is an uncommon cause of myocarditis, with only six reported cases in the world literature. This report describes a case of severe disseminated Aspergillus terreus infection with extensive involvement of the heart in an immunosuppressed patient after aortic valve replacement surgery. Pathologic findings are similar to those found in Aspergillus fumigatus myocarditis. All six previously reported cases of A. terreus carditis occurred in postoperative cardiac surgery or immunocompromised patients. This pathogen should not be dismissed as simply a colonizing organism or a contaminant in fungal cultures, particularly those from hospitalized or seriously ill patients.
土曲霉是心肌炎的一种罕见病因，世界文献中仅报道过6例。本报告描述了1例主动脉瓣置换术后免疫抑制患者发生严重播散性土曲霉感染且心脏广泛受累的病例。病理结果与烟曲霉心肌炎相似。先前报道的所有6例土曲霉性心内膜炎病例均发生于心脏手术后或免疫功能低下的患者。这种病原体不应仅仅被视为真菌培养中的定植菌或污染物，尤其是来自住院患者或重症患者的培养物。
