Aspergillus vegetative endocarditis and complete heart block in a patient with acute leukemia.
Aspergillus flavus vegetative endocarditis together with myocardial abscesses and pneumonitis developed in a patient with acute lymphocytic leukemia. The initial diagnosis was not suspected until 67gallium imaging revealed a radiographically undetectable thoracic abnormality. Despite apparently "early" diagnosis, antifungal therapy was inadequate to prevent disruption of the bundle of His, complete heart block and death.
D001228:Aspergillosis / Q000150:complications* / Q000175:diagnosis; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000175:diagnosis; D006327:Heart Block / Q000150:complications*; D006801:Humans; D007945:Leukemia, Lymphoid / Q000150:complications*; D008297:Male; D008875:Middle Aged