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The Journal of Thoracic and Cardiovascular Surgery, Vol 101, 161-164, Copyright © 1991 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Fatal fungal pericarditis after cardiac surgery and immunosuppression

TP Carrel, A Schaffner, ER Schmid, J Schneider, EP Bauer, A Laske, LK von Segesser and MI Turina
Clinic for Cardiovascular Surgery, University Hospital, Zurich, Switzerland.

The cases of two patients with fulminant pericarditis after cardiac surgery are reported. Both fungal infections developed after rethoracotomy for open-chest cardiac resuscitation and high-dose glucocorticoid treatment. Although the time course of both infections from the inoculation of fungi during rethoracotomy and immunosuppression with glucocorticoids to the lethal outcome was strikingly similar, histopathologic studies disclosed the disparate character of the two fungal pathogens responsible: the yeast Candida albicans and the angiotropic mold Aspergillus fumigatus.

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