Back to Search
Start Over
Incidental cardiac aspergillomas in an immunocompromised woman
- Source :
- Radiology Case Reports, Radiology Case Reports, Vol 15, Iss 2, Pp 120-124 (2020)
- Publication Year :
- 2019
- Publisher :
- Elsevier, 2019.
-
Abstract
- We report a case of 3 autopsy proven incidental cardiac aspergillomas, a rare and yet deadly manifestation caused by Aspergillus. A 48-year-old Caucasian woman affected by a large B-cell lymphoma was referred to our institute for a whole-body fluorine-18 fluorodeoxyglucose positron emission tomography/contrast-enhanced computed tomography restaging examination, which demonstrated 3 intracardiac masses. The patient was hospitalized, and both a transthoracic echocardiogram and a cardiac magnetic resonance imaging examination were performed. None of the imaging modalities provided a definitive diagnosis. A positive serum galactomannan assay allowed for the initiation of antifungal therapy, but, nevertheless, the patient died a few days later. This case highlights the need to consider cardiac aspergilloma in the differential diagnosis of cardiac masses, especially in immunocompromised patients. Though noninvasive imaging modalities and cardiac magnetic resonance imaging, in particular, help determine the nature of a cardiac lesion, cardiac aspergilloma shows no distinctive radiological features. A high degree of clinical suspicion is therefore key to achieving a timely diagnosis. Histopathological examination with microbiological confirmation remains the diagnostic gold standard. Keywords: Aspergilloma, Cardiac masses, Immunocompromised host
- Subjects :
- lcsh:Medical physics. Medical radiology. Nuclear medicine
Noninvasive imaging
medicine.medical_specialty
lcsh:R895-920
Autopsy
Intracardiac injection
030218 nuclear medicine & medical imaging
Aspergilloma
Cardiac masses
Immunocompromised host
03 medical and health sciences
0302 clinical medicine
Cardiac magnetic resonance imaging
medicine
Radiology, Nuclear Medicine and imaging
medicine.diagnostic_test
business.industry
Gold standard (test)
medicine.disease
cardiovascular system
Radiology
Transthoracic echocardiogram
Differential diagnosis
business
Cardiac
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 19300433
- Volume :
- 15
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Radiology Case Reports
- Accession number :
- edsair.doi.dedup.....dfe4f4ba33bf7d16ae641236485bcdbf