Coccidioidal pericarditis, an uncommonly diagnosed entity, may evolve to a constrictive process. Constrictive coccidioidal pericarditis requires pericardiectomy and antifungal therapy. In the elderly, pericardiectomy may be complicated by coagulopathy and septic shock. Despite potential toxicity, use of antifungal therapy early postoperatively offers the best chance for survival.
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Pericardial computed tomography imaging findings in the setting of coccidioidomycosis.
BMC Infect Dis
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Department of Radiology, University of California Davis, 4860 Y Street, Suite 3100, Sacramento, CA, 95817, USA.
Background: Pericardial disease can be a manifestation of infection and imaging can have a role in its diagnosis. coccidioidomycosis endemic fungal infection has been more frequently reported over the past few decades. Other than case reports or series, there has been no systemic study evaluating pericardial imaging findings in patients with coccidioidomycosis to the best of our knowledge.
View Article and Find Full Text PDFPericarditis and Sacroiliitis in a World Traveler.
JACC Case Rep
August 2021
VCU Pauley Heart Center, Virginia Commonwealth University, Richmond, Virginia, USA.
A 65-year-old immunocompromised woman presented with progressive dyspnea and sacroiliac joint pain. Cardiac magnetic resonance showed abnormal right ventricular filling with septal bounce and abnormal pericardial enhancement, suggestive of constrictive pericarditis. Cultures from pericardium following pericardiectomy grew .
View Article and Find Full Text PDFTrauma sternotomy for presumed haemopericardium with incidental coccidioidal pericarditis.
Trauma Case Rep
February 2015
Department of Surgery, Division of Trauma and Critical Care, Cedars-Sinai Medical Center, Los Angeles, CA, United States.
Background: Disseminated cocciodiomycosis with extrapulmonary disease occurs in less than 1% of infected patients, with few cases involving the pericardium reported in the literature. A subxiphoid window in a focussed assessment with sonography for trauma is a fast and reliable study for detecting haemopericardium in the haemodynamically unstable injured patient.
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Clin Infect Dis
June 2013
Department of Pediatrics, Children's Hospital Central California, Madera, CA 93638, USA.
Background: Coccidioidomycosis, an endemic fungal infection seen throughout the southwestern United States, is not well described in children.
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Coccidioidomycosis presenting as a heart base mass in two dogs.
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November 2011
Department of Veterinary Pathobiology, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX, USA.
Two atypical cases of canine coccidioidomycosis presenting as heart base masses are described. An echocardiogram performed in one of the two dogs revealed a large mass at the base of the heart and a computed tomography scan showed that the mass compressed the bronchi, left atrium, aorta and pulmonary arteries. A firm, white or pale yellow mass was found at the base of the heart at necropsy examination in both cases.
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