November 12, 2014
Notes: Aitken, Emma L
Surgery. 2014 May;155(5):910-8. doi: 10.1016/j.surg.2013.12.028. Epub 2013 Dec 28.
Author Address: Department of Surgery, Monklands District General Hospital, Airdrie, North Lanarkshire, UK; Department of Anaesthetics and Intensive Care, Cardiff University, Cardiff, UK. Electronic address: EmmaAitken@nhs.net.
Department of Surgery, Monklands District General Hospital, Airdrie, North Lanarkshire, UK.
Department of Anaesthetics and Intensive Care, Cardiff University, Cardiff, UK.
Reference Type: Journal Article
Record Number: 4598Author: Alhaji, M. and Sadikot, R. T.
Title: Respiratory failure due to blastomycosis infection in a patient with hypertension, cirrhosis and chronic pancreatitis
Journal: Expert Rev Respir Med
Short Title: Respiratory failure due to blastomycosis infection in a patient with hypertension, cirrhosis and chronic pancreatitis
Alternate Journal: Expert review of respiratory medicine
ISSN: 1747-6356 (Electronic)
Accession Number: 24224505
Abstract: Blastomycosis is an endemic fungal infection in North America. It usually causes acute and occasionally chronic pneumonias with disseminated infection, particularly skin lesion, as an extrapulmonary manifestation. Many cases are asymptomatic; however, a few patients progress to develop severe pulmonary infection leading to acute respiratory distress syndrome, which carries a high mortality rate. Disseminated blastomycosis involving the heart is exceptionally rare and can be potentially life threatening. To our knowledge, there are only four reported cases of cardiac blastomycosis in the literature. Here, we report a case of cardiac blastomycosis who initially presented with respiratory failure. In our patient, it was practically impossible to establish a diagnosis of cardiac blastomycosis antemortem because of his previous cardiac history related to alcoholic cardiomyopathy, which confounded the cardiac findings. This case raises an important issue of clinically considering involvement of the heart in cases of disseminated blastomycosis. Perhaps if the patient did not have a prior cardiac history, a new onset heart failure may have suggested cardiac involvement.