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心脏曲霉菌瘤:免疫功能低下患者中累及天然三尖瓣、右心房和右心室的心脏肿物的罕见病例。

Cardiac Aspergilloma: A Rare Case of a Cardiac Mass Involving the Native Tricuspid Valve, Right Atrium, and Right Ventricle in an Immunocompromised Patient.

作者信息

Chen-Milhone Christina S, Chakravarthy Potu Kalyan, Mungee Sudhir

机构信息

Department of Internal Medicine and Pediatrics, University of Illinois College of Medicine at Peoria, Peoria, IL, USA.

Department of Cardiology, University of Illinois College of Medicine at Peoria, Peoria, IL, USA.

出版信息

Case Rep Cardiol. 2018 Jan 29;2018:6927436. doi: 10.1155/2018/6927436. eCollection 2018.

Abstract

can cause devastating opportunistic infections in immunocompromised patients. Rarely does this fungus invade the heart, and when it does, survival is especially poor despite optimal medical and surgical treatment. We report a case of cardiac aspergilloma with involvement of the tricuspid valve and both the right atrium and ventricle found on a transthoracic echocardiogram in an immunocompromised patient after developing atrial fibrillation with rapid ventricular rate. The findings from this case suggest that early clinical suspicion is critical in early diagnosis and thus early treatment.

摘要

可在免疫功能低下的患者中引发严重的机会性感染。这种真菌很少侵入心脏,一旦侵入,即便接受了最佳的药物和手术治疗,生存率依然极低。我们报告一例免疫功能低下患者,在发生快速心室率的心房颤动后,经胸超声心动图发现心脏曲菌球累及三尖瓣以及右心房和右心室。该病例的研究结果表明,早期临床怀疑对于早期诊断进而早期治疗至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8372/5829353/21e48cc1f12d/CRIC2018-6927436.001.jpg

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