CASE REPORT Fatal fulminant myocarditis caused by disseminated mucormycosis

Acute fulminant myocarditis is a critical clinical condition with sudden onset of severe congestive heart failure followed by severe haemodynamic deterioration. Instituting early left ventricular support may improve outcome and result in better long term survival. The case of an immunocompromised patient who developed acute fulminant myocarditis in the setting of disseminated mucormycosis is presented. CASE REPORT A 40 year old woman with aplastic anaemia treated with immunosuppressive agents and steroids, who had undergone a medullary cell transplant in February 2003, was admitted to our hospital on 12 April 2003 because of fatigue, nausea, vomiting, dehydration, and renal insufficiency. The patient subsequently developed a staphylococcal bacteraemia, which was treated with antibiotics; however, she continued to hav