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Iatreia
Print version ISSN 0121-0793
Abstract
RAMIREZ ORTIZ, Zoraida; ARIAS, Luis Fernando and CATANO, Juan Carlos. Clinico-pathological conference (CPC): Patient with congenital heart malformation and infective endocarditis. Iatreia [online]. 2014, vol.27, n.4, pp.465-477. ISSN 0121-0793.
We present the case of a 17 year-old-man, with no remarkable past medical history, who had a one month history of worsening functional class, fatigability and dyspnea, in addition to fever and systemic inflammatory response syndrome (SIRS); a de-novo congenital heart malformation, situs inversus type, with levocardia and a ventricular septal defect (VSD) associated with transposition of great vessels were documented. During hospitalization he received several antibiotic treatments without microbiological isolation or identification of the cause of hemodynamic decompensation. An Aspergillus endocarditis with emboli to different organs was identified in the post-mortem examination.
Keywords : Aspergillosis; Congenital Abnormalities; Endocarditis; Heart Septal Defects.