Short report
Aspergillus niger endocarditis in an
immunocompetent patient: an unusual course
Yitshak Kreissa, Zvi Veredb, Nathan Kellerc, Ilan Kochvaa, Yechezkel Sidia, Hanan Gura
a Chaim Sheba
Medical Center, Tel Hashomer, The Sackler Faculty of Medicine, Tel Aviv
University, Israel Department of Medicine C, b Cardiac Institute, c Microbiology
Laboratory
Correspondence to: Dr H Gur
Submitted 20 July 1999;
Accepted 13 August 1999
Aspergillus is an opportunistic
nosocomial fungus generally associated with a high mortality rate.
A niger has been rarely associated with
infection, and most cases have occurred in patients who have recently
undergone heart surgery or in immunocompromised patients. We present a
case of an immunocompetent patient with A
niger endocarditis which illustrates the difficulties in
diagnosis and the possible insidious course of fungal endocarditis.
Keywords: endocarditis; Aspergillus niger; transoesophageal echocardiography
© 2000 by The Fellowship of Postgraduate Medicine
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