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European Journal of Echocardiography 2004 5(1):76-78; doi:10.1016/S1525-2167(03)00043-X
© 2004 by European Society of Cardiology
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Copyright © 2003, The European Society of Cardiology

Candida sepsis with intramyocardial abscesses mimicking left ventricular noncompaction

C Stöllbergera,*, J Preiserb and J Finstererc

a2nd Medical Department, Krankenanstalt Rudolfstiftung, Juchgasse 25, A-1030 Vienna, Austria
bDepartment of Pathology, Krankenanstalt Rudolfstiftung, Juchgasse 25, A-1030 Vienna, Austria
cDepartment of Neurology, Krankenanstalt Rudolfstiftung, Juchgasse 25, A-1030 Vienna, Austria

Received 23 December 2002; received in revised form 2 May 2003; accepted after revision 2 May 2003.

* Corresponding author. Steingasse 31/18, A-1030 Vienna, Austria. Tel.:/fax: +43-1-713-98-70. claudia.stoellberger{at}chello.at


  Abstract

Left ventricular (LV) noncompaction is a rare abnormality characterized by more than three trabeculations protruding from the LV wall, distal to the papillary muscles and visible in one echocardiographic image plane. The intertrabecular spaces are perfused from the LV cavity, as visualized on color Doppler imaging. Differential diagnoses of LV noncompaction are intraventricular thrombi, false tendons, aberrant bands, intramyocardial hematoma, cardiac metastases and the apical type of hypertrophic cardiomyopathy. Intramyocardial abscesses have not been reported as a differential diagnosis of LV noncompaction. In the patient presented, cardiac microabscesses due to candida sepsis mimicked LV noncompaction and should be considered in the differential diagnosis of LV noncompaction.

Keywords: candida; left ventricular noncompaction; dilative cardiomyopathy


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