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.
Department of Hematology, General Hospital Vienna, University Clinic Vienna, Vienna, Austria. GS@BCH.UNIVIE.AC.AT
G
G
Schett
B
B
Casati
B
B
Willinger
G
G
Weinländer
T
T
Binder
F
F
Grabenwöger
W
W
Sperr
K
K
Geissler
U
U
Jäger
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