Claviform aspergillus-related vegetation in the left ventricle of a patient with systemic lupus erythematosus.
J Clin Ultrasound
; 46(3): 231-232, 2018 Mar.
Article
em En
| MEDLINE
| ID: mdl-28568285
ABSTRACT
A 38-year-old woman was diagnosed with systemic lupus erythematosus and received immunosuppressive therapy. After 6 months of treatment, workup for low-grade fever yielded elevated enzyme-linked immunosorbent assay titers for Aspergillus antigen in serum and ascites, leading to the diagnosis of disseminated aspergillosis. Transthoracic echocardiography revealed a claviform vegetation attached to the left ventricular anterior septum. Two days after the start of antifungal Amphotericin-B therapy, the patient suffered from several neurologic disorders. A second transthoracic echocardiography revealed that the vegetation decreased in size. Two weeks later, the vegetation increased again. Combination therapy of Amphotericin-B and Voriconazole was initiated, and the vegetation eventually disappeared completely. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 46231-232, 2018.
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Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Aspergilose
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Ecocardiografia
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Cardiopatias
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Ventrículos do Coração
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Lúpus Eritematoso Sistêmico
Limite:
Adult
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Female
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Humans
Idioma:
En
Revista:
J Clin Ultrasound
Ano de publicação:
2018
Tipo de documento:
Article