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Narayanasamy S, Williams AR, Schell WA, Moehring RW, Alexander BD, Le T, Bharadwaj RA, McGauvran M, Schroder JN, Perfect JR. Curvularia alcornii Aortic Pseudoaneurysm Following Aortic Valve Replacement: Case Report and Review of the Literature. Open Forum Infect Dis 2022; 8:ofab536. [PMID: 35350813 PMCID: PMC8947321 DOI: 10.1093/ofid/ofab536] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Accepted: 10/28/2021] [Indexed: 11/26/2022] Open
Abstract
We report the first case of Curvularia alcornii aortic pseudoaneurysm following bioprosthetic aortic valve replacement in an immunocompetent host. Infection was complicated by septic emboli to multiple organs. Despite aggressive surgical intervention and antifungal therapy, infection progressed. We review the literature on invasive Curvularia infection to inform diagnosis and management.
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Affiliation(s)
- Shanti Narayanasamy
- Division of Infectious Diseases, Department of Medicine, Duke University Hospital, Durham, North Carolina, USA
| | - Adam R Williams
- Division of Cardiovascular and Thoracic Surgery, Duke University Hospital, Durham, North Carolina, USA
| | - Wiley A Schell
- Division of Infectious Diseases, Department of Medicine, Duke University Hospital, Durham, North Carolina, USA
| | - Rebekah W Moehring
- Division of Infectious Diseases, Department of Medicine, Duke University Hospital, Durham, North Carolina, USA
| | - Barbara D Alexander
- Division of Infectious Diseases, Department of Medicine, Duke University Hospital, Durham, North Carolina, USA
| | - Thuy Le
- Division of Infectious Diseases, Department of Medicine, Duke University Hospital, Durham, North Carolina, USA
| | - Ramesh A Bharadwaj
- McLeod Health Infectious Diseases, McLeod Health, Florence, South Carolina, USA
| | - Michelle McGauvran
- Division of Cardiothoracics, Department of Anesthesiology, Duke University Hospital, Durham, North Carolina, USA
| | - Jacob N Schroder
- Division of Cardiovascular and Thoracic Surgery, Duke University Hospital, Durham, North Carolina, USA
| | - John R Perfect
- Division of Infectious Diseases, Department of Medicine, Duke University Hospital, Durham, North Carolina, USA
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