HISTOPLASMA ENDOCARDITIS ON A STENOSED AORTIC-VALVE PRESENTING AS DYSPHAGIA AND WEIGHT-LOSS

Authors
WILMSHURST PT VENN GE EYKYN SJ
Citation
Pt. Wilmshurst et al., HISTOPLASMA ENDOCARDITIS ON A STENOSED AORTIC-VALVE PRESENTING AS DYSPHAGIA AND WEIGHT-LOSS, British Heart Journal, 70(6), 1993, pp. 565-567
Citations number
9
Categorie Soggetti
Cardiac & Cardiovascular System
Journal title
British Heart Journal → ACNP
ISSN journal
00070769
Volume
70
Issue
6
Year of publication
1993
Pages
565 - 567
Database
ISI
SICI code
0007-0769(1993)70:6<565:HEOASA>2.0.ZU;2-Y
Abstract
A 40-year-old man with aortic stenosis and disseminated histoplasmosis did not respond to treatment with itraconazole. Though there was no h aemodynamic deterioration, valvar regurgitation, or embolic phenomena a presumptive diagnosis of infective endocarditis was made. This was c onfirmed at aortic valve replacement. Antifungal treatment was continu ed for 18 months after valve replacement and serological tests for His toplasma became progressively more negative during a three year follow up.