Disseminated mucormycosis with myocardial involvement in a renal transplant recipient |
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| Authors: | Y Nam J Jung SS Park SJ Kim SJ Shin JH Choi M Kim HE Yoon |
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| Institution: | 1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Incheon, Korea;2. Division of Nephrology, Department of Internal Medicine, Incheon St. Mary's Hospital, Incheon, Korea;3. Division of Infectious Disease, Department of Internal Medicine, Incheon St. Mary's Hospital, Incheon, Korea;4. Division of Cardiology, Department of Internal Medicine, Incheon St. Mary's Hospital, Incheon, Korea |
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| Abstract: | We report the case of a renal transplant recipient with pulmonary and splenic mucormycosis whose demise was accelerated by a myocardial abscess. Once pulmonary and splenic mucormycosis was diagnosed, liposomal amphotericin B was started and immunosuppressant treatments were discontinued. The pulmonary cavities regressed during treatment, but new myocardial and peri‐allograft abscesses developed. The myocardial abscess diffusely infiltrated the left ventricular wall and was associated with akinesia, which led to sudden cardiac arrest. This case demonstrates a rare manifestation of mucormycosis and highlights the fatality and invasiveness of this infection. |
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| Keywords: | mucormycosis renal transplantation myocardial abscess |
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