Aspergillus Pericarditis with Tamponade in a Renal Transplant Patient
Joint Authors
Biso, Sylvia
Lekkham, Rapeepat
Climaco, Antoinette
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-02-20
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Aspergillus pericarditis is a rare and life-threatening infection in immunosuppressed patients.
It has nonspecific clinical manifestations that often mimic other disease entities especially in patients who have extensive comorbidities.
Diagnosis is oftentimes delayed and rarely done antemortem.
A high degree of suspicion in immunocompromised patients is necessary for evaluation and timely diagnosis.
This is a case of Aspergillus pericarditis with cardiac tamponade in a renal transplant patient with liver cirrhosis.
Two months after transplant, he developed decompensation of his cirrhosis from hepatitis C, acute cellular rejection, and Kluyvera bacteremia, followed by vancomycin-resistant Enterococcus faecium (VRE) bacteremia.
Four months after transplant, the patient presented with lethargy and fluid overload.
He subsequently developed shock and ventilator-dependent respiratory failure.
An echocardiogram showed pericardial effusion with cardiac tamponade.
He had emergent pericardiocentesis that showed purulent drainage.
He was started on broad-spectrum antibiotics.
Amphotericin B was initiated when the pericardial fluid grew mold that was later identified as Aspergillus fumigatus.
The patient quickly decompensated and expired.
American Psychological Association (APA)
Biso, Sylvia& Lekkham, Rapeepat& Climaco, Antoinette. 2017. Aspergillus Pericarditis with Tamponade in a Renal Transplant Patient. Case Reports in Cardiology،Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1144154
Modern Language Association (MLA)
Biso, Sylvia…[et al.]. Aspergillus Pericarditis with Tamponade in a Renal Transplant Patient. Case Reports in Cardiology No. 2017 (2017), pp.1-3.
https://search.emarefa.net/detail/BIM-1144154
American Medical Association (AMA)
Biso, Sylvia& Lekkham, Rapeepat& Climaco, Antoinette. Aspergillus Pericarditis with Tamponade in a Renal Transplant Patient. Case Reports in Cardiology. 2017. Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1144154
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144154