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Ann Thorac Surg 1999;68:1407-1409
© 1999 The Society of Thoracic Surgeons

Case Reports

Constrictive pericarditis due to Coccidiomycosis

John L. Faul, MDa, Khanh Hoang, MDb, Joseph Schmoker, MDc, Randall H. Vagelos, MDb, Gerald J. Berry, MDd

a Divisions of Pulmonary and Critical Care Medicine, Stanford, California, USA
b Division of Cardiology, Stanford, California, USA
c Division of Cardiothoracic Surgery, Stanford, California, USA
d Department of Pathology, Stanford University Medical Center, Stanford, California, USA

Address reprint requests to Dr Berry, Department of Pathology, Stanford University Medical Center, Stanford, CA 94305-5407

Coccidiomycosis is a fungal infection that rarely causes cardiac disease. Constrictive pericarditis in the setting of disseminated coccidiomycosis can be fatal, despite antifungal therapy and pericardiectomy. We report on a patient with constrictive pericarditis due to localized infection by Coccidioides immitis. The patient underwent successful surgical pericardiectomy and antifungal chemotherapy, and remains well 1 year later.




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