1Department of Central Clinical Laboratory, Kinki University School of Medicine, 2 Department of Cardiology,Kinki University School of Medicine, 3 Department of Pathology, Kinki University School of Medicine, 4Department of Hematology,Kinki University School of Medicine
A case of acute lymphocytic leukemia with infective endoA 36-year-old male patient suffered recurrence of acute lymphocytic leukemia in May 2004. His fever did not decrease after hospitalization, despite continuous administration of antibacterial and antifungal agents, and echocardiography was therefore carried out. Numerous movable vegetations were attached to the mitral valve tendon. Histologic dissection showed vegetation comprising mainly Aspergillus, which uniformly covered the docardium. When Aspergillus infects the heart, it causes abscesses in the myocardium but rarely causes infective endocarditis. We report finding huge vegetations of Aspergillus in the left ventricle.