Aspergillusfumigatus endocarditis after total correction of tetralogy of fallot

Authors

1 Mashhad University, medical faculty,emam reza hospital,cardiac surgery office DPT.

2 Shahid Rajaee Heart Center, Pediatric cardiology, Tehran, Iran.

Abstract

There are few studies about post-cardiac surgery fungal infections especially by Aspergillus fumigatus. In this paper we report a case of Aspergillusfumigatus endocarditis after total correction of tetralogy of fallot (TFTC) and PPM implantation.A 5.5-year-old female patient with current history of total correction of tetralogy of fallot was admitted with unexplained prolonged fever, vomiting, loss of appetite, and headache.The fever continued and as another differential diagnosis, the fungal endocarditis was suspected. For this matter, the galactomannan was checked. galactomannan was 1.9 higher than normal cut-off point .Three weeks antifungal regimen, the fever was suppressed gradually and general condition was good. ESR and CRP became normal. Blood culture for Aspergillus became negative and galactomannan decreased to normal level. Current paper revealed the importance of clinical suspicion by physicians in pediatric cases with current history of cardiothoracic surgeries for prompt diagnosis and successful treatment of Aspergillusfumigatus endocarditis.

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