J Cardiovasc Ultrasound. 2007 Jun;15(2):43-45. Korean.
Published online Jun 30, 2007.
Copyright © 2007 Korean Society of Echocardiography
Case Report

Lethal Aspergillus Endocarditis after Heart Transplantation

Eun Young Park, Seok Min Kang, Chan Ho Kim, Dong Hyun Kim, Dong Hyuck Nam, Chul Min Ahn, Boyoung Joung and Namsik Chung

Abstract

We report a case of a 21-year-old male who died from lethal Aspergillus endocarditis 3 months after heart transplantation. He underwent heart transplantation in other country. He was treated with hemodialysis for acute renal failure due to cyclosporine and then transferred to our hospital. When he complained high fever, follow-up echocardiography showed a large mobile echogenic mass attached to posterior mitral valve leaflet. The result of serum Aspergillus galactomannan antigen assay was positive. He was empirically treated with intravenous amphotericin B and antibiotics. However, he was rapidly deteriorated and died on hospital day 3.

Keywords
Endocarditis; Heart transplantation


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