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Fig. 1 | Surgical Case Reports

Fig. 1

From: Successful treatment of Aspergillus mural endocarditis in malignant lymphoma using a combined antifungal and surgical approach: a case report

Fig. 1

The perioperative clinical course. Before surgical resection of the vegetation, spiking fever, leukocytosis, and high D-glucan levels had persisted despite the anti-bacterial/fungal therapy. However, they were ameliorated after surgery. The leukocyte counts exhibited large fluctuations because of the hemophagocytic syndrome due to the malignant lymphoma and repeated chemotherapy (his biochemical presentation at the admission was pancytopenia due to hemophagocytic syndrome). BT, body temperature; WBC, white blood cell; TEE, transesophageal echocardiography; SMILE therapy, dexamethasone, methotrexate, ifosfamide, L-asparaginase, etoposide; GDP therapy, gemcitabine, dexamethasone, cisplatin

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