Pericarditis and Sacroiliitis in a World Traveler

Alessandra Vecchié; Jillian E Raybould; Kunal Sangal; Aldo Bonaventura; Melissa Gillen; Antonio Abbate; Sangeeta Sastry; Hem Bhardwaj

doi:10.1016/j.jaccas.2021.04.019

Pericarditis and Sacroiliitis in a World Traveler

JACC Case Rep. 2021 Jun 23;3(10):1322-1326. doi: 10.1016/j.jaccas.2021.04.019. eCollection 2021 Aug 18.

Authors

Alessandra Vecchié¹, Jillian E Raybould², Kunal Sangal¹, Aldo Bonaventura^{1

3}, Melissa Gillen⁴, Antonio Abbate¹, Sangeeta Sastry², Hem Bhardwaj¹

Affiliations

¹ VCU Pauley Heart Center, Virginia Commonwealth University, Richmond, Virginia, USA.
² Department of Internal Medicine, Division of Infectious Diseases, Virginia Commonwealth University Health System, Richmond, Virginia, USA.
³ Department of Internal Medicine, First Clinic of Internal Medicine, University of Genoa, Genoa, Italy.
⁴ Department of Medicine, Duke University Health System, Durham, North Carolina, USA.

Abstract

A 65-year-old immunocompromised woman presented with progressive dyspnea and sacroiliac joint pain. Cardiac magnetic resonance showed abnormal right ventricular filling with septal bounce and abnormal pericardial enhancement, suggestive of constrictive pericarditis. Cultures from pericardium following pericardiectomy grew Coccidioides immitis. She was diagnosed with coccidioidomycosis and responded to pericardiectomy and amphotericin. (Level of Difficulty: Intermediate.).

Keywords: CMR, cardiac magnetic resonance; Coccidioides; IV, intravenous; LV, left ventricular; SI, sacroiliac; coccidioidomycosis; constrictive pericarditis; sacroiliitis.

Publication types

Case Reports