Aspergillus Infection of Implantable Cardioverter-Defibrillator

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Presentation transcript:

Aspergillus Infection of Implantable Cardioverter-Defibrillator Rachel J. Cook, MD, Thomas A. Orszulak, MD, Vuyisile T. Nkomo, MD, Jennifer A. Shuford, MD, William D. Edwards, MD, Jay H. Ryu, MD Mayo Clinic Proceedings Volume 79, Issue 4, Pages 549-552 (April 2004) DOI: 10.4065/79.4.549 Copyright © 2004 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 Posteroanterior chest radiograph shows bilateral patchy alveolar infiltrates and implantable cardioverter-defibrillator system. Mayo Clinic Proceedings 2004 79, 549-552DOI: (10.4065/79.4.549) Copyright © 2004 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 Computed tomogram of the chest shows bilateral masslike infiltrates with cavitations. Mayo Clinic Proceedings 2004 79, 549-552DOI: (10.4065/79.4.549) Copyright © 2004 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 3 Transesophageal echocardiographic images. Left, Vegetations attached to implantable cardioverterdefibrillator leads (arrowheads). Right, Vegetations attached to right atrial free wall (arrow 1) and tricuspid valve (arrow 2). LA = left atrium; RA = right atrium; RV = right ventricle. Mayo Clinic Proceedings 2004 79, 549-552DOI: (10.4065/79.4.549) Copyright © 2004 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 4 Photomicrographs from resected tricuspid valve. Left, Valvular vegetation shows numerous fungi (Grocott methenamine silver, original magnification ×90). Right, Branching at 45° angles is typical for aspergillus (Grocott methenamine silver, original magnification ×540). Mayo Clinic Proceedings 2004 79, 549-552DOI: (10.4065/79.4.549) Copyright © 2004 Mayo Foundation for Medical Education and Research Terms and Conditions