Child J S, MacAlpin R N, Moyer G H, Shanley J D, Layfield L J
Clin Cardiol. 1979 Feb;2(1):43-8. doi: 10.1002/clc.4960020108.
A 56 year old man died with disseminated cryptococcosis after immunosuppressive therapy for a hematologic disorder of unknown etiology. The immediate cause of death was cardiogenic shock, probably resulting from a large right coronary ostial embolus and subsequent ischemic myocardial injury. The embolus originated from a bulky mitral vegetation (possibly cryptococcal) demonstrated ante mortem by echocardiography and cardiac angiography, and at autopsy. The differential diagnosis of such an echocardiographic pattern is discussed.
一名56岁男性在因病因不明的血液系统疾病接受免疫抑制治疗后死于播散性隐球菌病。直接死因是心源性休克，可能是由一个巨大的右冠状动脉口栓子及随后的缺血性心肌损伤所致。该栓子源自一个巨大的二尖瓣赘生物（可能为隐球菌性），生前经超声心动图和心脏血管造影证实，尸检时也得到确认。文中讨论了这种超声心动图表现的鉴别诊断。
