Fungal Pericarditis

Aka: Fungal Pericarditis, Mycotic Pericarditis

advertisement

II. Epidemiology

  1. Fungal Pericarditis is rare

III. Causes: Immunocompetent Patients

  1. Histoplasmosis
    1. Most common Fungal Pericarditis cause in immunocompetent patients
    2. Mild cases may be treated as inflammatory Pericarditis (WITHOUT Antifungals)
  2. Blastomycosis
  3. Coccidioidomycosis

IV. Causes: Immunocompromised Patients

  1. Candidiasis
  2. Aspergillosis

V. Risk Factors

  1. Immunocompromised
  2. Parenteral nutrition
  3. Prolonged Antibiotics
  4. Prolonged Corticosteroids
  5. Malignancy

VI. Findings

  1. See Pericarditis
  2. Toxic appearance (typically due to associated mediastinitis)

VII. Labs

  1. See Pericarditis

VIII. Differential Diagnosis

  1. See Pericarditis Causes

IX. Diagnosis

  1. Pericardiocentesis with fungal stains

X. Management

  1. See Pericarditis
  2. Consult infectious disease
  3. Intravenous Antifungals (e.g. Fluconazole, Amphotericin B)

XI. References

  1. Klasek and Alblaihed (2023) Crit Dec Emerg Med 37(6): 4-11

Images: Related links to external sites (from Bing)

These images are a random sampling from a Bing search on the term "Fungal Pericarditis." Click on the image (or right click) to open the source website in a new browser window. Search Bing for all related images

Related Studies

Related Topics in Pericardial Disorders

advertisement