Constrictive Pericarditis, Pneumopericardium and Aortic Aneurysm Due to Histoplasma Capsulatum

Abstract

CONSTRICTIVE pericarditis due to Histoplasma capsulatum has been the subject of several recent reports.1 , 2 In addition to constrictive pericarditis, a recent patient demonstrated pneumopericardium and fatal rupture of a mycotic aneurysm, all due to H. capsulatum infection. This unusual case with noteworthy physical, radiographic and anatomic findings is presented below.Case ReportA 41-year-old outdoor workman was admitted to the Jefferson Davis Hospital on April 27, 1963, because of progressive breathlessness. He had been well until 3 months previously, when anorexia, retching, diarrhea, chills and fever developed. This was followed by exertional dyspnea, which ultimately became so severe that he . . .