Blastomycosis Endocarditis: Case Report and Literature Review

被引：0
|
作者：
Chavez, Franco Murillo [1 ,2 ]
Filippov, Evgenii [1 ]
Licandro, Francesca [1 ]
Sethi, Vishal [1 ]
Eilertson, Brandon [3 ]
机构：
[1] Sinai Hosp Baltimore, Baltimore, MD USA
[2] Univ Cient Sur, Fac Med Humana, Lima, Peru
[3] Kaiser Permanente Mid Atlantic Permanente Med Grp, Rockville, MD USA
来源：
OPEN FORUM INFECTIOUS DISEASES | 2023年 / 10卷 / 11期
关键词：
blastomycosis; blastomycosis endocarditis; fungal endocarditis; INVOLVEMENT; INFECTION;
D O I：
10.1093/ofid/ofad572
中图分类号：
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号：
100102 ;
摘要：
We report successful treatment of a case of disseminated blastomycosis originating in the right lung, with involvement of the right pleural space, multiple ribs and vertebral bodies, and the pericardium and mitral valve endocarditis. The 22-year-old patient presented with a 13-month history of right lower lobe pneumonia associated with fevers, night sweats, rib pain, and 27-kg weight loss. Pathology examination revealed Blastomyces from multiple biopsies of inflammatory masses in the right thorax. After a 4-week induction with liposomal amphotericin followed by oral itraconazole, the patient had complete resolution of the clinical and laboratory findings of blastomycosis.
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页数：6
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