Purulent pericarditis caused by Candida species is rare and is associa
ted with very high mortality. Immunosuppressed transplant patients are
particularly susceptible to fungal infections. We report a case of Ca
ndida purulent constrictive pericarditis in an immunocompromised heart
transplant patient who was treated successfully with antifungal agent
s, surgical drainage, and pericardiectomy. (C) 1998 by The Society of
Thoracic Surgeons.