PMC6555895_01
A, B: Gross photographs of coronal sections of the heart ventricles with myocardial abscesses (pale, soft regions with surrounding erythema indicated by arrows), C: Photomicrograph of edge of myocardial abscess (100x magnification) hematoxylin and eosin stain. Hyphae with 45-degree angle branching are seen, with acute inflammation and injured myocytes, D: Gomori Methenamine-Silver stain of lung tissue (100x magnification) that highlights fungal organisms with 45-degree angle branching, consistent with Aspergillus.
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The family requested autopsy, which revealed invasive myocarditis secondary to Aspergillus fumigatus as well as multiple myocardial abscesses (Fig. 1).