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Rapid Fulminant Case of Aspergillus Prosthetic Valve Endocarditis
A 74-year-old male presented to the emergency department 46 days after undergoing an aortic valve replacement. He presented with nonspecific symptoms developed over the previous 15 days, with a new onset of a systolic panfocal murmur. Echocardiography revealed a great vegetation measuring 15 mm by 2...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5669520/ https://www.ncbi.nlm.nih.gov/pubmed/29142800 http://dx.doi.org/10.7759/cureus.1652 |
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author | Ortega-Loubon, Christian Fernández-Molina, Manuel Tobar-Ruiz, Javier Arce-Ramos, Nuria Fulquet-Carreras, Enrique |
author_facet | Ortega-Loubon, Christian Fernández-Molina, Manuel Tobar-Ruiz, Javier Arce-Ramos, Nuria Fulquet-Carreras, Enrique |
author_sort | Ortega-Loubon, Christian |
collection | PubMed |
description | A 74-year-old male presented to the emergency department 46 days after undergoing an aortic valve replacement. He presented with nonspecific symptoms developed over the previous 15 days, with a new onset of a systolic panfocal murmur. Echocardiography revealed a great vegetation measuring 15 mm by 23 mm causing a severe obstruction of the bioprosthesis. The patient underwent an emergency surgical procedure due to his hemodynamic unsteadiness. During the procedure, we noted an obstruction of the left ventricle outflow tract with pseudoaneurysm of the aortomitral continuity. We debrided the aortic annulus, reconstructed the aortomitral continuity, and replaced the prosthesis, but the patient died. We present a rare fulminant case of Aspergillus endocarditis. |
format | Online Article Text |
id | pubmed-5669520 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-56695202017-11-15 Rapid Fulminant Case of Aspergillus Prosthetic Valve Endocarditis Ortega-Loubon, Christian Fernández-Molina, Manuel Tobar-Ruiz, Javier Arce-Ramos, Nuria Fulquet-Carreras, Enrique Cureus Infectious Disease A 74-year-old male presented to the emergency department 46 days after undergoing an aortic valve replacement. He presented with nonspecific symptoms developed over the previous 15 days, with a new onset of a systolic panfocal murmur. Echocardiography revealed a great vegetation measuring 15 mm by 23 mm causing a severe obstruction of the bioprosthesis. The patient underwent an emergency surgical procedure due to his hemodynamic unsteadiness. During the procedure, we noted an obstruction of the left ventricle outflow tract with pseudoaneurysm of the aortomitral continuity. We debrided the aortic annulus, reconstructed the aortomitral continuity, and replaced the prosthesis, but the patient died. We present a rare fulminant case of Aspergillus endocarditis. Cureus 2017-09-04 /pmc/articles/PMC5669520/ /pubmed/29142800 http://dx.doi.org/10.7759/cureus.1652 Text en Copyright © 2017, Ortega-Loubon et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Infectious Disease Ortega-Loubon, Christian Fernández-Molina, Manuel Tobar-Ruiz, Javier Arce-Ramos, Nuria Fulquet-Carreras, Enrique Rapid Fulminant Case of Aspergillus Prosthetic Valve Endocarditis |
title | Rapid Fulminant Case of Aspergillus Prosthetic Valve Endocarditis |
title_full | Rapid Fulminant Case of Aspergillus Prosthetic Valve Endocarditis |
title_fullStr | Rapid Fulminant Case of Aspergillus Prosthetic Valve Endocarditis |
title_full_unstemmed | Rapid Fulminant Case of Aspergillus Prosthetic Valve Endocarditis |
title_short | Rapid Fulminant Case of Aspergillus Prosthetic Valve Endocarditis |
title_sort | rapid fulminant case of aspergillus prosthetic valve endocarditis |
topic | Infectious Disease |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5669520/ https://www.ncbi.nlm.nih.gov/pubmed/29142800 http://dx.doi.org/10.7759/cureus.1652 |
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