Right atrial mass in a child with disseminated coccidioidomycosis.
A 10-year-old patient with known coccidioidomycosis relapsed and had dysrrhythmias and a right atrial mass. Histopathology and culture after surgical removal revealed that this was a vegetative mass infected with Coccidioides spp. We believe that this is the first case of coccidioidal endocarditis to be reported.
La Via
William V
WV
Division of Infectious Diseases, Childrens Hospital at Los Angeles, Los Angeles, CA, USA.
Koulouri
Sofia
S
Ross
Lawrence A
LA
Quiros
J Antonio
JA
Mason
Wilbert H
WH
D000666:Amphotericin B / Q000627:therapeutic use; D006348:Cardiac Surgical Procedures / Q000379:methods; D002648:Child; D003045:Coccidioides / Q000302:isolation & purification*; D003047:Coccidioidomycosis / Q000150:complications / Q000175:diagnosis*; D003131:Combined Modality Therapy; D004696:Endocarditis / Q000175:diagnosis* / Q000628:therapy; D005500:Follow-Up Studies; D016469:Fungemia / Q000150:complications / Q000175:diagnosis*; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014463:Ultrasonography
D000666:Amphotericin B