Pericarditis and Sacroiliitis in a World Traveler

A 65-year-old immunocompromised woman presented with progressive dyspnea and sacroiliac joint pain. Cardiac magnetic resonance showed abnormal right ventricular filling with septal bounce and abnormal pericardial enhancement, suggestive of constrictive pericarditis. Cultures from pericardium followi...

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Published inJACC. Case reports Vol. 3; no. 10; pp. 1322 - 1326
Main Authors Vecchié, Alessandra, Raybould, Jillian E., Sangal, Kunal, Bonaventura, Aldo, Gillen, Melissa, Abbate, Antonio, Sastry, Sangeeta, Bhardwaj, Hem
Format Journal Article
LanguageEnglish
Published Elsevier Inc 18.08.2021
Elsevier
Subjects
Case Report
Coccidioides
coccidioidomycosis
constrictive pericarditis
sacroiliitis
sacroiliitis
constrictive pericarditis
SI
coccidioidomycosis
CMR
LV
Coccidioides
IV
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Summary:A 65-year-old immunocompromised woman presented with progressive dyspnea and sacroiliac joint pain. Cardiac magnetic resonance showed abnormal right ventricular filling with septal bounce and abnormal pericardial enhancement, suggestive of constrictive pericarditis. Cultures from pericardium following pericardiectomy grew Coccidioides immitis. She was diagnosed with coccidioidomycosis and responded to pericardiectomy and amphotericin. (Level of Difficulty: Intermediate.) [Display omitted]
ISSN:2666-0849
2666-0849
DOI:10.1016/j.jaccas.2021.04.019