Pericardium

Fungal Pericarditis

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Fungal Pericarditis, Mycotic Pericarditis

  • 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
  • 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
  • Differential Diagnosis
  • 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