Fungal purulent constrictive pericarditis in a heart transplant patient.
Purulent pericarditis caused by Candida species is rare and is associated with very high mortality. Immunosuppressed transplant patients are particularly susceptible to fungal infections. We report a case of Candida purulent constrictive pericarditis in an immunocompromised heart transplant patient who was treated successfully with antifungal agents, surgical drainage, and pericardiectomy.
Canver
C C
CC
Section of Cardiothoracic Surgery, William S. Middleton Memorial Veterans Hospital, University of Wisconsin School of Medicine, Madison 53792, USA. cccanver@facstaff.wisc.edu
Patel
A K
AK
Kosolcharoen
P
P
Voytovich
M C
MC
D000666:Amphotericin B / Q000627:therapeutic use; D000890:Anti-Infective Agents / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D002177:Candidiasis / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D002939:Ciprofloxacin / Q000627:therapeutic use; D004198:Disease Susceptibility; D004322:Drainage; D016027:Heart Transplantation; D006801:Humans; D016867:Immunocompromised Host; D007165:Immunosuppression Therapy; D008297:Male; D008875:Middle Aged; D009894:Opportunistic Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D010492:Pericardiectomy; D010494:Pericarditis, Constrictive / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D010996:Pleural Effusion / Q000382:microbiology; D011552:Pseudomonas Infections / Q000175:diagnosis / Q000188:drug therapy; D011550:Pseudomonas aeruginosa; D013492:Suppuration
D000890:Anti-Infective Agents; D000935:Antifungal Agents; D002939:Ciprofloxacin; D000666:Amphotericin B