Constrictive pericarditis due to coccidiomycosis.
Coccidiomycosis is a fungal infection that rarely causes cardiac disease. Constrictive pericarditis in the setting of disseminated coccidiomycosis can be fatal, despite antifungal therapy and pericardiectomy. We report on a patient with constrictive pericarditis due to localized infection by Coccidioides immitis. The patient underwent successful surgical pericardiectomy and antifungal chemotherapy, and remains well 1 year later.
Faul
J L
JL
Division of Pulmonary and Critical Care Medicine, Stanford University Medical Center, California 94305-5407, USA.
Hoang
K
K
Schmoker
J
J
Vagelos
R H
RH
Berry
G J
GJ
D000328:Adult; D000935:Antifungal Agents / Q000008:administration & dosage / Q000009:adverse effects; D003047:Coccidioidomycosis / Q000473:pathology / Q000601:surgery*; D003131:Combined Modality Therapy; D006801:Humans; D008297:Male; D010492:Pericardiectomy; D010494:Pericarditis, Constrictive / Q000473:pathology / Q000601:surgery*; D010496:Pericardium / Q000473:pathology; D011182:Postoperative Care
D000935:Antifungal Agents