Fatal fungal pericarditis after cardiac surgery and immunosuppression

J Thorac Cardiovasc Surg. 1991 Jan;101(1):161-4.

Abstract

The cases of two patients with fulminant pericarditis after cardiac surgery are reported. Both fungal infections developed after rethoracotomy for open-chest cardiac resuscitation and high-dose glucocorticoid treatment. Although the time course of both infections from the inoculation of fungi during rethoracotomy and immunosuppression with glucocorticoids to the lethal outcome was strikingly similar, histopathologic studies disclosed the disparate character of the two fungal pathogens responsible: the yeast Candida albicans and the angiotropic mold Aspergillus fumigatus.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aspergillosis / etiology*
  • Aspergillus fumigatus*
  • Candida albicans*
  • Candidiasis / etiology*
  • Cardiac Surgical Procedures / adverse effects*
  • Dexamethasone / adverse effects*
  • Humans
  • Male
  • Middle Aged
  • Pericarditis / etiology*
  • Reoperation

Substances

  • Dexamethasone