A 50-year-old male patient presented to the ER with chest pain which was precordial with referral to the trapezius ridge, neck, left shoulder and arm along with low-grade intermittent fever, dyspnea, cough, and dysphagia. ECG of the patient Which of the following organism is the most common fungal cause of the above condition:

A 50-year-old male patient presented to the ER with chest pain which was precordial with referral to the trapezius ridge, neck, left shoulder and arm along with low-grade intermittent fever, dyspnea, cough, and dysphagia. ECG of the patient Which of the following organism is the most common fungal cause of the above condition: –

A. <img style="max-width: 100%" src=" />

B. <img style="max-width: 100%" src=" />

C. <img style="max-width: 100%" src=" />

D. <img style="max-width: 100%" src=" />

Correct Answer: <img style="max-width: 100%" src=" />

Description: This is a case of acute pericarditis. ECG in acute pericarditis typically shows diffuse ST elevation. Presents with chest pain as the main symptom. Most common fungal cause of acute pericarditis is Histoplasma. OPTION A shows the yeast cells with the pseudohyphae classical of Candida. Option B shows septate hyphae with dichotomous branching- seen in Aspergillus Option C shows budding yeast cells - seen in Histoplasma Option D shows India ink staining - seen in Cryptococcus.

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