Coccidioidal pericarditis.
A 26-year-old man developed coccidioidomycosis which resulted in myocarditis associated with congestive heart failure. A pericardial effusion developed and progressed to constrictive pericarditis. A pericardiectomy was performed and revealed that the pericarditis was due to Coccidioides immitis. The patient was subsequently treated with amphotericin B and showed marked improvement.
D000328:Adult; D003045:Coccidioides / Q000302:isolation & purification; D003047:Coccidioidomycosis / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D006099:Granuloma / Q000473:pathology; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D008172:Lung Diseases, Fungal / Q000150:complications* / Q000175:diagnosis; D008297:Male; D009205:Myocarditis / Q000209:etiology; D010494:Pericarditis, Constrictive / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D010496:Pericardium / Q000473:pathology