Multimodality Diagnosis Approach of Cardiac Aspergillosis

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El Ghannudi, Soraya | Imperiale, Alessio | Dégot, Tristan | Germain, Philippe | Trinh, Annie | Petean, Roxana | Le van Quyen, Paulette | Chenard, Marie Pierrette | Letscher-Bru, Valerie | Kessler, Romain | Herbrecht, Raoul

Edité par CCSD ; Wiley -

International audience. Mini-Abstract A 56-year-old patient with a history of bilateral lung transplantation for idiopathic interstitial pneumonia not responding to corticosteroids therapy had a good initial postoperative outcome. One month later, subcutaneous nodules appeared and histopathology revealed septate hyphae in the nodules and Aspergillus fumigatus in bronchial lavage. FDG PET / CT and CMR revealed multiple left and right ventricles abscesses consistent with cardiac aspergillosis. The combination of FDG PET / CT and CMR was useful to detect the cardiac localization of systemic aspergillosis, to define the precise morphological details of myocardial lesions and to evaluate the response to treatment.

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