II. Epidemiology
- Fungal Pericarditis is rare
III. Causes: Immunocompetent Patients
-
Histoplasmosis
- Most common Fungal Pericarditis cause in immunocompetent patients
- Mild cases may be treated as inflammatory Pericarditis (WITHOUT Antifungals)
- Blastomycosis
- Coccidioidomycosis
IV. Causes: Immunocompromised Patients
V. Risk Factors
- Immunocompromised
- Parenteral nutrition
- Prolonged Antibiotics
- Prolonged Corticosteroids
- Malignancy
VI. Findings
- See Pericarditis
- Toxic appearance (typically due to associated mediastinitis)
VII. Labs
- See Pericarditis
VIII. Differential Diagnosis
IX. Diagnosis
- Pericardiocentesis with fungal stains
X. Management
- See Pericarditis
- Consult infectious disease
- Intravenous Antifungals (e.g. Fluconazole, Amphotericin B)
XI. References
- Klasek and Alblaihed (2023) Crit Dec Emerg Med 37(6): 4-11
Images: Related links to external sites (from Bing)
Related Studies
| Concepts | Disease or Syndrome (T047) |
| SnomedCT | 44595001 |
| Dutch | pericarditis door schimmels |
| French | Péricardite fongique |
| German | Perikarditis durch Pilze |
| Italian | Pericardite micotica |
| Portuguese | Pericardite micótica |
| Spanish | Pericaditis fúngica, pericarditis fúngica, pericarditis micótica (trastorno), pericarditis micótica |
| Japanese | 真菌性心膜炎, ｼﾝｷﾝｾｲｼﾝﾏｸｴﾝ |
| Czech | Plísňová perikarditida |
| Hungarian | gombás pericarditis |
| English | Fungal pericarditis, Mycotic pericarditis (disorder), Mycotic pericarditis, Mycotic pericarditis, NOS, Fungal pericarditis, NOS, Pericarditis fungal |
