Acute myocardial infarction in disseminated mucormycosis infection

<span class="paragraphSection">A 26 year old female with a history of cystic fibrosis (homozygous delta F508) and bilateral lung transplant presented with a bi-frontal headache one month post bilateral sinus surgery for chronic sinusitis. The provisional diagnosis was bacterial sinusitis. Although nasal swabs had grown <span style="font-style:italic;">Candida</span> and <span style="font-style:italic;">Staphylococcus aureus,</span> blood cultures were negative. One week after presentation, despite empiric antibacterial and antifungal therapy she developed septic shock and respiratory failure requiring veno-venous extra-corporeal membrane oxygenation (ECMO). There was further broadening of her antimicrobial cover and pulse methyl-prednisone was added as rejection was a possible cause of her acute respiratory distress. </span>
Source: European Heart Journal - Category: Cardiology Source Type: research