A Case of Aspergillus Pericarditis in the Setting of Invasive Aspergillosis: The Role of Surgery in a Multi-modal TreatmentNovel Teaching Points
We report the case of an immunocompromised patient admitted for chest pain secondary to pericardial effusion. Pericardiocentesis liquid analysis revealed an Aspergillus pericarditis. Advanced multimodality imaging later revealed invasive aspergillosis. The patient was treated with pericardectomy and...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-07-01
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| Series: | CJC Open |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589790X2200066X |
| _version_ | 1818108723917225984 |
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| author | Samantha Guimaron, MD Philippe Gervais, MD Pierre Voisine, MD |
| author_facet | Samantha Guimaron, MD Philippe Gervais, MD Pierre Voisine, MD |
| author_sort | Samantha Guimaron, MD |
| collection | DOAJ |
| description | We report the case of an immunocompromised patient admitted for chest pain secondary to pericardial effusion. Pericardiocentesis liquid analysis revealed an Aspergillus pericarditis. Advanced multimodality imaging later revealed invasive aspergillosis. The patient was treated with pericardectomy and long-term antifungal therapy. Novel teaching points are as follows: Pericardectomy is an efficient treatment for Aspergillus pericarditis. Disease control can be obtained without local relapse with pericardectomy and long-term antifungal therapy. Résumé: Nous présentons le cas d’un patient immunovulnérable admis en raison d’une douleur thoracique secondaire à la perfusion péricardique. L’analyse du liquide de la péricardiocentèse a permis de révéler une péricardite causée par le champignon Aspergillus. L’imagerie multimodale avancée a par la suite permis de révéler une aspergillose invasive. Le traitement du patient a consisté en une péricardectomie et un traitement antifongique à long terme. Le nouveau point à retenir est que la péricardectomie est un traitement efficace contre la péricardite causée par le champignon Aspergillus. On peut maîtriser la maladie sans rechute locale grâce à la péricardectomie et au traitement antifongique à long terme. |
| first_indexed | 2024-12-11T02:19:54Z |
| format | Article |
| id | doaj.art-42b239c88ef64577ac7edd3287a7432b |
| institution | Directory Open Access Journal |
| issn | 2589-790X |
| language | English |
| last_indexed | 2024-12-11T02:19:54Z |
| publishDate | 2022-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | CJC Open |
| spelling | doaj.art-42b239c88ef64577ac7edd3287a7432b2022-12-22T01:24:06ZengElsevierCJC Open2589-790X2022-07-0147663666A Case of Aspergillus Pericarditis in the Setting of Invasive Aspergillosis: The Role of Surgery in a Multi-modal TreatmentNovel Teaching PointsSamantha Guimaron, MD0Philippe Gervais, MD1Pierre Voisine, MD2Department of Cardiac Surgery, Quebec Heart and Lung Institute, Quebec, Quebec, Canada; Corresponding author: Dr Samantha Guimaron, Department of Cardiac Surgery, Quebec Heart and Lung Institute, 2725 chemin Sainte Foy, Quebec, Quebec G1V 4G5, Canada. Tel.: +1-581-849-4643.Department of Infectious Diseases, Quebec Heart and Lung Institute, Quebec, Quebec, CanadaDepartment of Cardiac Surgery, Quebec Heart and Lung Institute, Quebec, Quebec, CanadaWe report the case of an immunocompromised patient admitted for chest pain secondary to pericardial effusion. Pericardiocentesis liquid analysis revealed an Aspergillus pericarditis. Advanced multimodality imaging later revealed invasive aspergillosis. The patient was treated with pericardectomy and long-term antifungal therapy. Novel teaching points are as follows: Pericardectomy is an efficient treatment for Aspergillus pericarditis. Disease control can be obtained without local relapse with pericardectomy and long-term antifungal therapy. Résumé: Nous présentons le cas d’un patient immunovulnérable admis en raison d’une douleur thoracique secondaire à la perfusion péricardique. L’analyse du liquide de la péricardiocentèse a permis de révéler une péricardite causée par le champignon Aspergillus. L’imagerie multimodale avancée a par la suite permis de révéler une aspergillose invasive. Le traitement du patient a consisté en une péricardectomie et un traitement antifongique à long terme. Le nouveau point à retenir est que la péricardectomie est un traitement efficace contre la péricardite causée par le champignon Aspergillus. On peut maîtriser la maladie sans rechute locale grâce à la péricardectomie et au traitement antifongique à long terme.http://www.sciencedirect.com/science/article/pii/S2589790X2200066X |
| spellingShingle | Samantha Guimaron, MD Philippe Gervais, MD Pierre Voisine, MD A Case of Aspergillus Pericarditis in the Setting of Invasive Aspergillosis: The Role of Surgery in a Multi-modal TreatmentNovel Teaching Points CJC Open |
| title | A Case of Aspergillus Pericarditis in the Setting of Invasive Aspergillosis: The Role of Surgery in a Multi-modal TreatmentNovel Teaching Points |
| title_full | A Case of Aspergillus Pericarditis in the Setting of Invasive Aspergillosis: The Role of Surgery in a Multi-modal TreatmentNovel Teaching Points |
| title_fullStr | A Case of Aspergillus Pericarditis in the Setting of Invasive Aspergillosis: The Role of Surgery in a Multi-modal TreatmentNovel Teaching Points |
| title_full_unstemmed | A Case of Aspergillus Pericarditis in the Setting of Invasive Aspergillosis: The Role of Surgery in a Multi-modal TreatmentNovel Teaching Points |
| title_short | A Case of Aspergillus Pericarditis in the Setting of Invasive Aspergillosis: The Role of Surgery in a Multi-modal TreatmentNovel Teaching Points |
| title_sort | case of aspergillus pericarditis in the setting of invasive aspergillosis the role of surgery in a multi modal treatmentnovel teaching points |
| url | http://www.sciencedirect.com/science/article/pii/S2589790X2200066X |
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