Coccidioidomycosis with Pericardial Involvement: Case Report and Literature Review Onyee Chan, MD, See Wei Low, MD, Rafael Urcis, MD, Naser Mahmoud, MD,

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Presentation transcript:

Coccidioidomycosis with Pericardial Involvement: Case Report and Literature Review Onyee Chan, MD, See Wei Low, MD, Rafael Urcis, MD, Naser Mahmoud, MD, Ily Kristine T. Yumul, MD, John Leander Z. Po, MD, Tirdad T. Zangeneh, DO The American Journal of Medicine Volume 129, Issue 3, Pages e21-e25 (March 2016) DOI: 10.1016/j.amjmed.2015.11.009 Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure (A) Two-dimensional transthoracic echocardiogram in subcostal 4-chamber view showing a large circumferential pericardial effusion (arrow). (B) Subcostal long-axis view showing increased inferior vena cava pressure (<50% collapse during inspiration), which further suggest echocardiographic tamponade. (C) Left supraclavicular mass (arrow). (D) Extensive necrotizing lymphadenitis with involvement of the mediastinum and bilateral hilar causing esophageal impingement (arrow). IVC = inferior vena cava; LA = left atrium; LV = left ventricle; PE = pericardial effusion; RA = right atrium; RV = right ventricle. The American Journal of Medicine 2016 129, e21-e25DOI: (10.1016/j.amjmed.2015.11.009) Copyright © 2016 Elsevier Inc. Terms and Conditions