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Histoplasma capsulatum : An Unusual Case of Pericardial Effusion and Coarctation of the Aorta

机译:荚膜组织胞浆:心包积液和主动脉缩窄的罕见情况

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Histoplasma capsulatum is a fungus that is endemic in many parts of the world and can present with a wide variety of symptoms. Here we present a case of a previously healthy 19-year-old female who presented with shortness of breath. She was found to have a right lung mass and coarctation of the aorta on computed tomography imaging. Pathology revealed granuloma caused by Histoplasma capsulatum. She later developed massive pericardial effusion, requiring emergent pericardiocentesis. She was treated with anti-fungal therapy and recovered well. This case illustrates an unusual presentation of newly diagnosed coarctation of the aorta complicated by Histoplasma pericardial effusion. Imaging and pathology slides are reviewed.J Clin Med Res. 2016;8(3):254-256doi: http://dx.doi.org/10.14740/jocmr2455w
机译:荚膜组织胞浆菌是一种真菌,在世界许多地方都很流行,并可能表现出各种各样的症状。在这里,我们介绍了一例以前健康的19岁女性,她出现呼吸急促。在计算机断层扫描成像中,发现她的右肺肿块和主动脉缩窄。病理显示肉芽肿是由荚膜组织胞浆菌引起的。她后来发生了严重的心包积液,需要进行紧急心包穿刺术。她接受了抗真菌治疗,康复良好。该病例说明了新诊断出的主动脉缩窄并发组织胞浆心包积液。影像学和病理学幻灯片进行了审查。临床医学杂志。 2016; 8(3):254-256doi:http://dx.doi.org/10.14740/jocmr2455w

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