期刊
JOURNAL OF INFECTION
卷 47, 期 4, 页码 344-347出版社
W B SAUNDERS CO LTD
DOI: 10.1016/S0163-4453(03)00084-7
关键词
Aspergillus niger; endocarditis; leukaemia
Endocarditis secondary to Aspergillus niger has not been described in a Leukaemic patient. We describe a case of A. niger endocarditis in a patient with acute myeloid leukaemia and refractory fever. The microbiological cause of his endocarditis was initially misdiagnosed because he fulfilled the Duke criteria for enterococcal endocarditis. A polymerase chain reaction test utilizing pan-fungal primers detected a product from an Aspergillus sp. The DNA was subsequently sequenced and was found to have 100% homology with A. niger. A postmortem revealed fungal endocarditis secondary to disseminated aspergillosis, without evidence of bacterial endocarditis. The patient was found to have a lung aspergilloma that was possibly occupationally acquired, and may have been long standing. (C) 2003 The British Infection Society. Published by Elsevier Ltd. All rights reserved.
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