[Abscess-forming and necrotizing aspergillus myocarditis in a surgical intensive care patient--a rare occurrence].
The case of an 89 year old patient is reported, in whom an aspergillus myocarditis was unexpectedly found at autopsy. Preoperatively, the patient showed no risk factors for an invasive mycosis. 5 days after uncomplicated surgery he developed septic shock due to peritonitis. After surgery and intensive care therapy the patient recovered initially. 23 days after the first operation the patient suddenly developed catecholamin-resistant myocardial failure and died. Ten days before, aspergillus spec. was found in a specimen of bronchial secretion. This finding was interpreted as colonisation and not treated.
Fösel
Th
T
Klinik für Anästhesiologie und operative Intensivmedizin, Klinikum Lahr/Schwarzwald, Lahr. Tfoesel@aol.com
Gauer
I C
IC
Eisenmann
G
G
Mauser
M
M
D000368:Aged; D000369:Aged, 80 and over; D001228:Aspergillosis / Q000382:microbiology / Q000473:pathology*; D001344:Autopsy; D003331:Coronary Vessels / Q000382:microbiology / Q000473:pathology; D017809:Fatal Outcome; D006321:Heart / Q000382:microbiology; D006801:Humans; D008297:Male; D009205:Myocarditis / Q000382:microbiology / Q000473:pathology*; D009206:Myocardium / Q000473:pathology