Isolated aspergillosis myocardial abscesses in a liver-transplant patient.
Cardiac abscess is an uncommon and fatal complication after transplantation. We report a case of an initially isolated aspergillosis myocardial abscess diagnosed by cardiac magnetic resonance imaging (CMRI). At that time, there was no other biological evidence or other extracardiac manifestations. A three-month course of dual antifungal therapy followed by a single antifungal therapy was empirically given. Six month after admission, Aspergillus fumigatus was isolated for the first time and the patient deceased from a disseminated aspergillosis.
Service de Radiologie Générale, Centre Hospitalier Universitaire Rangueil, 1 avenue du Professeur Jean Poulhès, TSA 50032, 31059 Toulouse Cedex 9, France.
Kim-Diêp
KD
Dang-Tran
Service de Radiologie Générale, Centre Hospitalier Universitaire Rangueil, 1 avenue du Professeur Jean Poulhès, TSA 50032, 31059 Toulouse Cedex 9, France.
Valérie
V
Chabbert
Department of Nephrology and Organ Transplantation, CHU Rangueil, TSA 50032, 31059 Toulouse Cedex 9, France.
Laure
L
Esposito
Service d'Anatomo-Pathologie, Centre Hospitalier Universitaire Rangueil, 1 avenue du Professeur Jean Poulhès, 31059 Toulouse Cedex 4, France ; Université Paul Sabatier, 31059 Toulouse, France.
Céline
C
Guilbeau-Frugier
Service de Radiologie Générale, Centre Hospitalier Universitaire Rangueil, 1 avenue du Professeur Jean Poulhès, TSA 50032, 31059 Toulouse Cedex 9, France ; Service de Médecine Légale, Centre Hospitalier Universitaire Rangueil, 1 avenue du Professeur Jean Poulhès, 31059 Toulouse Cedex 4, France.
Fabrice
F
Dédouit
Department of Nephrology and Organ Transplantation, CHU Rangueil, TSA 50032, 31059 Toulouse Cedex 9, France ; Université Paul Sabatier, 31059 Toulouse, France ; INSERM U1043, IFR-BMT, CHU Purpan, 31059 Toulouse, France.
Lionel
L
Rostaing
Service de Radiologie Générale, Centre Hospitalier Universitaire Rangueil, 1 avenue du Professeur Jean Poulhès, TSA 50032, 31059 Toulouse Cedex 9, France ; Université Paul Sabatier, 31059 Toulouse, France.
Hervé
H
Rousseau
Service de Radiologie Générale, Centre Hospitalier Universitaire Rangueil, 1 avenue du Professeur Jean Poulhès, TSA 50032, 31059 Toulouse Cedex 9, France ; Université Paul Sabatier, 31059 Toulouse, France.
Phillippe
P
Otal
Department of Nephrology and Organ Transplantation, CHU Rangueil, TSA 50032, 31059 Toulouse Cedex 9, France ; Université Paul Sabatier, 31059 Toulouse, France ; INSERM U1043, IFR-BMT, CHU Purpan, 31059 Toulouse, France.
Nassim
N
Kamar