Universität zu Köln

Bourlond, Baudouin, Cipriano, Ana, Regamey, Julien, Papadimitriou-Olivgeris, Matthaios ORCID: 0000-0003-0565-5105, Kamani, Christel, Seidel, Danila, Lamoth, Frederic ORCID: 0000-0002-1023-5597, Muller, Olivier ORCID: 0000-0003-2441-5799 and Yerly, Patrick (2022). Case report: Disseminated Scedosporium apiospermum infection with invasive right atrial mass in a heart transplant patient. Front. Cardiovasc. Med., 9. LAUSANNE: FRONTIERS MEDIA SA. ISSN 2297-055X

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Abstract

Scedosporium apiospermum associated endocarditis is extremely rare. We report a case of a disseminated S. apiospermum infection with an invasive right atrial mass in a 52-year-old male, 11 months after heart transplantation, referred to our institution for an endogenous endophthalmitis with a one-month history of diffuse myalgias and fatigue. The patient had been supported two times with extracorporeal membrane oxygenation (ECMO) during the first three postoperative months. The echocardiography on admission revealed a mass in the right atrium attached to a thickened lateral wall. The whole-body [F-18]FDG PET/CT revealed systemic dissemination in the lungs, muscles, and subcutaneous tissue. Blood cultures were positive on day three for filamentous fungi later identified as S. apiospermum. The disease was refractory to a 3-week dual antifungal therapy with voriconazole and anidulafungin in addition to reduced immunosuppression, and palliative care was implemented.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Bourlond, Baudouin UNSPECIFIED UNSPECIFIED UNSPECIFIED Cipriano, Ana UNSPECIFIED UNSPECIFIED UNSPECIFIED Regamey, Julien UNSPECIFIED UNSPECIFIED UNSPECIFIED Papadimitriou-Olivgeris, Matthaios UNSPECIFIED orcid.org/0000-0003-0565-5105 UNSPECIFIED Kamani, Christel UNSPECIFIED UNSPECIFIED UNSPECIFIED Seidel, Danila UNSPECIFIED UNSPECIFIED UNSPECIFIED Lamoth, Frederic UNSPECIFIED orcid.org/0000-0002-1023-5597 UNSPECIFIED Muller, Olivier UNSPECIFIED orcid.org/0000-0003-2441-5799 UNSPECIFIED Yerly, Patrick UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-673094
DOI:	10.3389/fcvm.2022.1045353
Journal or Publication Title:	Front. Cardiovasc. Med.
Volume:	9
Date:	2022
Publisher:	FRONTIERS MEDIA SA
Place of Publication:	LAUSANNE
ISSN:	2297-055X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language FUNGAL ENDOCARDITIS; PROLIFICANS; RECIPIENTS; DIAGNOSIS Multiple languages Cardiac & Cardiovascular Systems Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/67309