Endocarditis and aortal embolization caused by Aspergillus terreus in a patient with acute lymphoblastic leukemia in remission: diagnosis by peripheral-blood culture.
Disseminated infection with Aspergillus terreus is a rare disease that affects only the immunocompromised host. We report a case of systemic infection with A. terreus resulting in endocarditis, aortic embolization, and splenic infarction in a patient with acute lymphoblastic leukemia. Diagnosis through peripheral blood culture, lack of pulmonary involvement, and onset of disease during complete remission from leukemia constitute uncommon features of this case.
Schett
G
G
Department of Hematology, General Hospital Vienna, University Clinic Vienna, Vienna, Austria. GS@BCH.UNIVIE.AC.AT
Casati
B
B
Willinger
B
B
Weinländer
G
G
Binder
T
T
Grabenwöger
F
F
Sperr
W
W
Geissler
K
K
Jäger
U
U
D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D001228:Aspergillosis / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D001230:Aspergillus / Q000302:isolation & purification / Q000472:pathogenicity; D004617:Embolism / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D004696:Endocarditis / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D017809:Fatal Outcome; D005260:Female; D016469:Fungemia / Q000150:complications / Q000175:diagnosis / Q000382:microbiology; D006801:Humans; D016867:Immunocompromised Host; D015464:Leukemia, Myelogenous, Chronic, BCR-ABL Positive / Q000150:complications* / Q000188:drug therapy; D008875:Middle Aged; D008943:Mitral Valve / Q000382:microbiology; D012074:Remission Induction