title: Aspergillus infection in pulmonary cavitating lesions with right atrial myxoma.
abstract: Cardiac myxomas are rare primary tumors with varied clinical presentations that may pose a diagnostic challenge. Here, we describe the case of a 21-year-old man with multiple cavitating lung lesions with aspergillosis and underlying right atrial myxoma, who presented with hemoptysis and weight loss. He was successfully treated with right atrial myxoma resection and antifungal agents, with no recurrence or complications after one year of follow-up.
authors.affiliation: The Heart Center, Cardiology and Cardiac Surgery Department, Royal Victoria Hospital, Belfast, UK.
authors.forename: Divyesh
authors.initials: D
authors.lastname: Sharma
authors.affiliation: Department of Microbiology, Belfast Health and Care Trust, Belfast, UK.
authors.forename: Eileen
authors.initials: E
authors.lastname: Dorgan
authors.affiliation: Cardiology Department, Antrim Area Hospital, Antrim, UK.
authors.forename: Hannah
authors.initials: H
authors.lastname: Douglas
authors.affiliation: Cardiology Department, Antrim Area Hospital, Antrim, UK.
authors.forename: Tom
authors.initials: T
authors.lastname: Trouton
authors.affiliation: Department of Microbiology, Belfast Health and Care Trust, Belfast, UK.
authors.forename: Ronan
authors.initials: R
authors.lastname: McMullan
authors.affiliation: The Heart Center, Cardiology and Cardiac Surgery Department, Royal Victoria Hospital, Belfast, UK hparissis@yahoo.co.uk.
authors.forename: Haralabos
authors.initials: H
authors.lastname: Parissis
mesh_terms: D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D001228:Aspergillosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000601:surgery; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging / Q000382:microbiology; D008171:Lung Diseases / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D008297:Male; D009232:Myxoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014463:Ultrasonography; D055815:Young Adult
chemical_list: D000935:Antifungal Agents
keywords: Echocardiography; Heart atria; Heart neoplasms; Myxoma; Pulmonary aspergillosis; transesophageal