Pericardium

Fungal Pericarditis

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Fungal Pericarditis, Mycotic Pericarditis

  • See Also
  1. Pericarditis
  2. Pericarditis Causes
  • Epidemiology
  1. Fungal Pericarditis is rare
  • 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
  1. Candidiasis
  2. Aspergillosis
  • Risk Factors
  1. Immunocompromised
  2. Parenteral nutrition
  3. Prolonged antibiotics
  4. Prolonged Corticosteroids
  5. Malignancy
  • Findings
  1. See Pericarditis
  2. Toxic appearance (typically due to associated mediastinitis)
  • Labs
  1. See Pericarditis
  • Differential Diagnosis
  1. See Pericarditis Causes
  • Diagnosis
  1. Pericardiocentesis with fungal stains
  • Management
  1. See Pericarditis
  2. Consult infectious disease
  3. Intravenous Antifungals (e.g. Fluconazole, Amphotericin B)
  • References
  1. Klasek and Alblaihed (2023) Crit Dec Emerg Med 37(6): 4-11