Insidious postoperative Aspergillus niger graft aortitis. (2020)

• Record Type: Journal Article
• Authors: Marro, M.; Atzeni, F.; La Torre, M.W.; Attisani, M.; Belloro, S.; De Rosa, F.G.; Rinaldi, M.
• Is Part Of: IDCases. Volume 21(2020)
• Publication Date: 2020
• Subjects: fungal infection -- aspergillus niger -- aortitis -- echocardiography; Communicable diseases -- Periodicals; Communicable Diseases -- Case Reports; Communicable Diseases -- Periodicals; Communicable diseases; Periodicals; 616.9
• DOI: 10.1016/j.idcr.2020.e00823
• Languages: English
• ISSNs: 2214-2509

Abstract

Highlights: Fungal endocarditis/aortitis. The first case of polyethylene-terephthalate (PETE) graft aortitis caused by A. niger. Transoesophageal echocardiography (TEE). Abstract: Fungal endocarditis/aortitis is an uncommon yet emerging entity accounting for 2% to 4% of all cases of infective endocarditis and continues to be associated with a poor prognosis. We present the first case of polyethylene-terephthalate (PETE) graft aortitis caused by A. niger, a rare fungal agent. Early diagnosis with frequent transoesophageal echocardiography (TEE) and a prompt surgical intervention coupled with optimal antifungal therapy are still the only option to reduce the exceedingly high mortality and morbidity.