Candida sepsis with intramyocardial abscesses mimicking left ventricular noncompaction.
Left ventricular (LV) noncompaction is a rare abnormality characterized by more than three trabeculations protruding from the LV wall, distal to the papillary muscles and visible in one echocardiographic image plane. The intertrabecular spaces are perfused from the LV cavity, as visualized on color Doppler imaging. Differential diagnoses of LV noncompaction are intraventricular thrombi, false tendons, aberrant bands, intramyocardial hematoma, cardiac metastases and the apical type of hypertrophic cardiomyopathy. Intramyocardial abscesses have not been reported as a differential diagnosis of LV noncompaction. In the patient presented, cardiac microabscesses due to candida sepsis mimicked LV noncompaction and should be considered in the differential diagnosis of LV noncompaction.
Stöllberger
C
C
2nd Medical Department, Krankenanstalt Rudolfstiftung, Juchgasse 25, A- 1030 Vienna, Austria. claudia.stoellberger@chello.at
Preiser
J
J
Finsterer
J
J
D000038:Abscess / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000628:therapy; D002177:Candidiasis / Q000150:complications / Q000175:diagnosis*; D009202:Cardiomyopathies / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000628:therapy; D003131:Combined Modality Therapy; D018450:Disease Progression; D015150:Echocardiography, Doppler; D017809:Fatal Outcome; D016469:Fungemia / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000175:diagnosis / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index