Myocardial involvement in invasive aspergillosis; [Myocardite aspergillaire]

We report the case of a 48-year-old female patient who had a Crohn's disease treated by corticosteroids. The patient developped severe cardiac failure, which was refractory to treatment with inotropic agents. At necropsy, examination of the heart revealed myocardial abscesses. On microscopic study, we diagnosed an aspergillar myocarditis. Aspergillar myocarditis is a rare and fatal localisation in disseminated aspergillosis. Diagnosis is difficult and treatment, usually initiated late, is ineffective. © 2009 Elsevier Masson SAS. All rights reserved.