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Aspectos clinicos Trata-se de homem de 28 anos, em anasarca. Havia disfuncao sistolica esquerda moderada e aumento acentuado de atrios e ventriculo direito e aumento pouco expressivo da pressao arterial pulmonar coexistindo com insuficiencias moderadas das valvas atrioventriculares. Aparentemente o predominio era de disfuncao diastolica e dilatacao dos ventriculos e disfuncao sistolica de ventriculo direito, o que indica estarmos frente a cardiopatia restritiva. […] Caso 6/2017 – Homem de 28 Anos com Anasarca e Insuficiencia Cardiaca de Padrao Restritivo

Infectious complications following heart transplantation are an important cause of morbidity and mortality. Generally, bacterial infections are predominant; however, fungal infections can be responsible for up to 25% of infectious events. We report the case of a patient who presented with histoplasmosis as an infectious complication five years after heart transplantation due to a chagasic cardiopathy. This association has rarely been reported in the international literature.