Histoplasma Endocarditis Diagnosed by Thrombus Aspiration

Can J Cardiol. 2018 Oct;34(10):1370.e9-1370.e11. doi: 10.1016/j.cjca.2018.07.417. Epub 2018 Jul 29.

Abstract

Negative cultures in endocarditis often lead to delays in targeted life-saving therapies. We present the case of a 68-year-old man who presented with culture-negative endocarditis, which was complicated by coronary embolization resulting in anterior ST-elevation myocardial infarction (STEMI). Aspiration thrombectomy led to the diagnosis of fungal endocarditis, one of the most serious causes of culture-negative presentation.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angiography
  • Diagnosis, Differential
  • Echocardiography, Transesophageal
  • Endocarditis / complications
  • Endocarditis / diagnosis*
  • Endocarditis / microbiology
  • Heart Diseases / diagnosis
  • Heart Diseases / microbiology
  • Heart Diseases / surgery
  • Histoplasma / isolation & purification*
  • Histoplasmosis / complications
  • Histoplasmosis / diagnosis*
  • Histoplasmosis / microbiology
  • Humans
  • Male
  • Thrombectomy / methods*
  • Thrombosis / diagnosis
  • Thrombosis / etiology
  • Thrombosis / surgery*