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Journal of Clinical Microbiology, November 1998, p. 3347-3351, Vol. 36, No. 11
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.

Endocarditis and Aortal Embolization Caused by Aspergillus terreus in a Patient with Acute Lymphoblastic Leukemia in Remission: Diagnosis by Peripheral-Blood Culture

G. Schett,1,2,* B. Casati,3 B. Willinger,4 G. Weinländer,5 T. Binder,6 F. Grabenwöger,7 W. Sperr,1 K. Geissler,1 and U. Jäger1

Department of Hematology,1 Department of Rheumatology,2 Department of Clinical Pathology,3 Department of Clinical Microbiology,4 Department of Oncology,5 Department of Cardiology,6 and Department of Radiology,7 General Hospital Vienna, University Clinic Vienna, Vienna, Austria

Received 13 February 1998/Returned for modification 8 April 1998/Accepted 6 July 1998

Disseminated infection with Aspergillus terreus is a rare disease that affects only the immunocompromised host. We report a case of systemic infection with A. terreus resulting in endocarditis, aortic embolization, and splenic infarction in a patient with acute lymphoblastic leukemia. Diagnosis through peripheral blood culture, lack of pulmonary involvement, and onset of disease during complete remission from leukemia constitute uncommon features of this case.

* Corresponding author. Mailing address: Department of Internal Medicine III, University of Vienna, Währinger Gürtel 18-20, A-1180 Vienna, Austria. Phone: 431-40400-4300. Fax: 431-40400-4306. E-mail: GS{at}BCH.UNIVIE.AC.AT.

Journal of Clinical Microbiology, November 1998, p. 3347-3351, Vol. 36, No. 11
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.


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