Case Report
Aspergillus Calidoustus Endocarditis in a Child after Cardiac Surgery: Case Report
1Heinrich A. Werner Division of Pediatric Critical Care, University of Kentucky, USA
2Division of Pediatric Infectious Diseases, University of Kentucky, USA
3Division of Pediatric Cardiology, University of Kentucky, USA
Received Date: February 11, 2021; Published Date: March 16, 2021
Abstract
We report a case of a 14-year-old male with Aspergillus calidoustus endocarditis occurring in an expanded polytetrafluoroethylene conduit for Tetralogy of Fallot. Aspergillus calidoustus is a concerning newly described species that is often resistant to voriconazole. Our patient was optimally treated by using antifungal therapy active against the fungus and surgical resection of the infected tissue.
Keywords:Aspergillus calidoustus; Fungal endocarditis; Voriconazole; Amphotericin B
Abbreviations: RVOT: Right ventricular outflow tract; ePTFE: expanded polytetrafluoroethylene; NT-proBNP: N-terminal pro b-type natriuretic peptide; RV-PA: Right ventricular to pulmonary artery; CTA: Computed tomography angiogram; MIC: Minimum inhibitory concentration; GMS: Gomori methenamine silver
