ASPERGILLUS-ENDOCARDITIS, MYOCARDITIS AND PERICARDITIS COMPLICATING NECROTIZING FASCIITIS - CASE-REPORT AND SUBJECT REVIEW

A patient with Aspergillus endocarditis, myocarditis and pericarditis is described. A 55-year-old man developed necrotizing fasciitis of the lower abdominal wall, pelvis and right thigh. Despite aggressive surg ical debridement and antibiotic coverage, the patient died of multisys tem organ failure. Autopsy revealed Aspergillus thromboulcerative endo carditis, myocarditis and pericarditis, acute necrotizing fungal bronc hopneumonia and mycotic dissemination to brain, kidney and thyroid gla nd. A review of the literature showed that in the absence of open-hear t surgery Aspergillus endocarditis and myocarditis are very uncommon.