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Insidious postoperative Aspergillus niger graft aortitis

Matteo Marro1, Francesco Atzeni1, Michele William La Torre1

  • 1Città della Salute e della Scienza di Torino, University of Turin, Department of Surgical Sciences, Division of Cardiac Surgery, Italy.

Idcases
|June 4, 2020
PubMed

Insights

Fungal aortitis, though rare, poses a significant risk. This case highlights Aspergillus niger infection in a polyethylene-terephthalate graft, emphasizing early diagnosis and intervention for better outcomes.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Mycology

Background:

  • Fungal endocarditis and aortitis are rare but serious infections.
  • These conditions are associated with high mortality and morbidity rates.

Observation:

  • This report details the first documented case of polyethylene-terephthalate (PETE) graft aortitis caused by Aspergillus niger.
  • Aspergillus niger is an uncommon fungal agent responsible for this infection.

Findings:

  • Early diagnosis is crucial for managing fungal aortitis.
  • Frequent transoesophageal echocardiography (TEE) aids in timely detection.

Implications:

  • Prompt surgical intervention combined with appropriate antifungal therapy is essential.
  • Aggressive management strategies are necessary to reduce mortality and morbidity in fungal aortitis.
Keywords:
aortitisaspergillus nigerechocardiographyfungal infection

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