PEDIATRICS Vol. 69 No. 2 February 1982, pp. 252-253
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Echocardiography in Aspergillus Endocarditis

Martin B. Kleiman MD1

1 Department of Pediatrics, Indiana University, Indianapolis, IN 46223

In an extensive review1 of endocarditis caused by Aspergillus in children, Barst et al found no cases in which the presence of vegetations was proven by echocardiography. We present the case report of a child in whom the two-dimensional echocardiogram first established the presence of a mycotic aneurysm and associated intracardiac and intra-aortic vegetations.

Case Report. An 11-year-old girl with severe congenital aortic stenosis underwent aortic valvulotomy on Dec 17, 1977. Fever developed on the 11th day after surgery and daily spikes to 38.8 C (102 F) continued for the ensuing several weeks.


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