indian heart journal 67 (2015) 288
Available online at www.sciencedirect.com
ScienceDirect journal homepage: www.elsevier.com/locate/ihj
Correspondence
Cardiac aspergilloma Sir, the recent report on “aspergilloma of the heart” is very interesting.1 Soman et al reported a case and concluded that “Aspergillus not only affects the heart valves but also the cardiac chambers1” and mentioned that this is the first report. In fact, the intracardiac aspergillosis is a rare clinical presentation of aspergillosis. However, the present case might not be the first case. According to the report by Dang-Tran et al, which is published in February 2014, the isolated aspergillosis myocardial abscesses in a liver e transplant case is already published.2 In addition, Li et al also reported the autopsy finding of myocardial arpergillosis in a death case of near drowning patient who died after a short hospitalization.3 Finally, in 1996, Cishek et al also presented a patient with cardiac aspergilloma who presented with myocardial infarction and finally died of cardiogenic shock.4 Focusing on those previous reports, it can be briefly summarized that the intracardiac aspergillosis is a rare clinical problem. The intracardiac aspergillosis can be seen in the patients with underlying severe health problems such as transplantation or near drowning. The diagnosis is usually difficult and successful isolation of the fungus is usually late. The infection is usually deadly and antifungal treatment usually fails. All patients in the previous report ended up with death.
references
1. Soman SO, Vijayaraghavan G, Padmaja NP, Warrier AR, Unni M. Aspergilloma of the heart. Indian Heart J. 2014 MareApr;66:238e240.
DOI of original article: http://dx.doi.org/10.1016/j.ihj.2013.12.006.
2. Dang-Tran KD, Chabbert V, Esposito L, et al. Isolated aspergillosis myocardial abscesses in a liver-transplant patient. Case Rep Transpl. 2014;2014:418357. 3. Li P, Cao EH, Zhao BL, et al. Invasive aspergillosis after neardrowning: case reports and review of the literature. Zhonghua Jie He He Hu Xi Za Zhi. 2011 Sep;34:657e662. 4. Cishek MB, Yost B, Schaefer S. Cardiac aspergillosis presenting as myocardial infarction. Clin Cardiol. 1996 Oct;19: 824e827.
Somsri Wiwanitkit* Wiwanitkit House, Bangkhae, Bangkok, Thailand Viroj Wiwanitkit Visiting Professor, Faculty of Medicine, University of Nis, Serbia Visiting Professor, Hainan Medical University, China Adjunct Professor, Joseph Ayobabalola University, Nigeria *Corresponding author. E-mail address: [email protected] Available online 13 May 2015 http://dx.doi.org/10.1016/j.ihj.2015.04.006 0019-4832/Copyright © 2015, Cardiological Society of India. All rights reserved.
Available online at www.sciencedirect.com
ScienceDirect journal homepage: www.elsevier.com/locate/ihj
Correspondence
Cardiac aspergilloma Sir, the recent report on “aspergilloma of the heart” is very interesting.1 Soman et al reported a case and concluded that “Aspergillus not only affects the heart valves but also the cardiac chambers1” and mentioned that this is the first report. In fact, the intracardiac aspergillosis is a rare clinical presentation of aspergillosis. However, the present case might not be the first case. According to the report by Dang-Tran et al, which is published in February 2014, the isolated aspergillosis myocardial abscesses in a liver e transplant case is already published.2 In addition, Li et al also reported the autopsy finding of myocardial arpergillosis in a death case of near drowning patient who died after a short hospitalization.3 Finally, in 1996, Cishek et al also presented a patient with cardiac aspergilloma who presented with myocardial infarction and finally died of cardiogenic shock.4 Focusing on those previous reports, it can be briefly summarized that the intracardiac aspergillosis is a rare clinical problem. The intracardiac aspergillosis can be seen in the patients with underlying severe health problems such as transplantation or near drowning. The diagnosis is usually difficult and successful isolation of the fungus is usually late. The infection is usually deadly and antifungal treatment usually fails. All patients in the previous report ended up with death.
references
1. Soman SO, Vijayaraghavan G, Padmaja NP, Warrier AR, Unni M. Aspergilloma of the heart. Indian Heart J. 2014 MareApr;66:238e240.
DOI of original article: http://dx.doi.org/10.1016/j.ihj.2013.12.006.
2. Dang-Tran KD, Chabbert V, Esposito L, et al. Isolated aspergillosis myocardial abscesses in a liver-transplant patient. Case Rep Transpl. 2014;2014:418357. 3. Li P, Cao EH, Zhao BL, et al. Invasive aspergillosis after neardrowning: case reports and review of the literature. Zhonghua Jie He He Hu Xi Za Zhi. 2011 Sep;34:657e662. 4. Cishek MB, Yost B, Schaefer S. Cardiac aspergillosis presenting as myocardial infarction. Clin Cardiol. 1996 Oct;19: 824e827.
Somsri Wiwanitkit* Wiwanitkit House, Bangkhae, Bangkok, Thailand Viroj Wiwanitkit Visiting Professor, Faculty of Medicine, University of Nis, Serbia Visiting Professor, Hainan Medical University, China Adjunct Professor, Joseph Ayobabalola University, Nigeria *Corresponding author. E-mail address: [email protected] Available online 13 May 2015 http://dx.doi.org/10.1016/j.ihj.2015.04.006 0019-4832/Copyright © 2015, Cardiological Society of India. All rights reserved.
