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Image in Cardiology
Trichosporon inkin and recurrent infection of Bentall graft: A unique infection
Trichosporon inkin e infecção recorrente de Bentall-Bono: uma infecção única
Ravi Vazirani Ballesteros
Autor para correspondência
ravi_94@hotmail.es

Corresponding author.
, Juan Carlos Gómez Polo, Luis David Vivas Balcones, Isidre Vilacosta
Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, Madrid, Spain
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        "titulo" => "<span class="elsevierStyleItalic">Trichosporon inkin</span> e infec&#231;&#227;o recorrente de Bentall-Bono&#58; uma infec&#231;&#227;o &#250;nica"
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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; <span class="elsevierStyleItalic">Trichosporon inkin</span>&#58; Sabouraud glucose agar&#44; 30<span class="elsevierStyleHsp" style=""></span>&#176;C&#44; 7 days&#59; &#40;B&#41; <span class="elsevierStyleItalic">T&#46; inkin</span> arthroconidia and blastoconidia &#40;lactophenol cotton blue 40&#215;&#41;&#59; &#40;C&#41; transesophageal echocardiogram showing a hypermobile mass causing severe obstruction &#40;D and E&#41; at the aortic valve&#59; &#40;E&#41; positron emission tomography fused with computed tomography with a maximum standardized uptake value of 13 showing a vegetation located in the left anterolateral aortic wall&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 71-year-old man underwent a Bentall procedure a year ago&#59; his medical history was negative for any immunosuppressive conditions&#46; Eight months later&#44; he was admitted with a history of high fever &#40;38&#46;6<span class="elsevierStyleHsp" style=""></span>&#176;C&#41;&#46; Blood cultures were drawn on arrival&#44; which identified <span class="elsevierStyleItalic">Trichosporon inkin</span>&#44; treated with intravenous amphotericin B&#46; A subsequent transesophageal echocardiogram revealed a hypermobile vegetation attached to the valve causing severe flow obstruction &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>&#41;&#46; Urgent surgery was performed&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Five months later&#44; positron emission tomography fused with computed tomography &#40;PET&#47;CT&#41;&#44; performed due to persistent fever&#44; confirmed a peritubular relapse of the <span class="elsevierStyleItalic">T&#46; inkin</span> infection&#44; requiring urgent surgery and redo of the Bentall procedure&#44; without further complications&#46; This time&#44; the vegetation was attached to the Dacron tube&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">An immunological study was performed&#44; with no remarkable findings&#46; The patient was discharged on 200 mg fluconazole daily guided by antifungal susceptibility testing&#44; without relapse since then&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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