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Chest, Vol 76, 473-476, Copyright © 1979 by American College of Chest Physicians

ARTICLES

Aspergillus vegetative endocarditis and complete heart block in a patient with acute leukemia

SM Mikulski, LJ Love, EJ Bergquist, MT Hargadon, MM Applefeld and W Mergner

Aspergillus flavus vegetative endocarditis together with myocardial abscesses and pneumonitis developed in a patient with acute lymphocytic leukemia. The initial diagnosis was not suspected until 67gallium imaging revealed a radiographically undetectable thoracic abnormality. Despite apparently "early" diagnosis, antifungal therapy was inadequate to prevent disruption of the bundle of His, complete heart block and death.




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Copyright © 1979 by the American College of Chest Physicians.