Unusual presentation of fungal infective endocarditis as the first manifestation of HIV in a child with a structurally normal heart

Authors

Amber Kamran, Dow University of Medical and Health Sciences, Pakistan
Yusra Tariq, Aga Khan UniversityFollow
Waris Ahmad, Aga Khan UniversityFollow
Saleem Akhtar, Aga Khan UniversityFollow
Rumana Sangi, Aga Khan University

Document Type

Article

Department

Women and Child Health

Abstract

We report a 9-year-old boy who presented with mitral valve perforation secondary to Ustilago species fungal infective endocarditis. Subsequent evaluation revealed previously undiagnosed HIV infection. Fungal endocarditis due to Ustilago species is exceedingly rare, and presentation as the initial manifestation of HIV has not been previously described in the pediatric population. The atypical presentation posed significant diagnostic challenges, emphasizing the need to consider underlying immunodeficiency, including HIV infection, in children presenting with unusual or opportunistic infections. To our knowledge, this represents the first reported case of Ustilago infective endocarditis unveiling pediatric HIV infection in a child with a structurally normal heart

Comments

Pagination is not provided by author/publisher.

AKU Student

no

Publication (Name of Journal)

Journal of Cardiothoracic Surgery

DOI

10.1186/s13019-025-03818-8

Recommended Citation

Kamran, A., Tariq, Y., Ahmad, W., Akhtar, S., Sangi, R. (2026). Unusual presentation of fungal infective endocarditis as the first manifestation of HIV in a child with a structurally normal heart. Journal of Cardiothoracic Surgery, 21(1).
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_women_childhealth_paediatr/1643