Multiple septic emboli and myocardial infarction due to vaso-invasive Rhizomucor pusillus infection in a hematologic patient

We present a case of 63-year-old hematologic patient with pulmonary vaso-invasive zygomycosis Rhizomucor pusillus after second stem cell transplantation (SCT) for myelodysplastic syndrome, complicated by multi organ failure, myocardial ischemia and infarction. Zygomycosis is common in immunocompromised patients, especially hematopoietic (HSCT). Mucor species have devastating properties causing hematogenic dissemination. Antemortem diagnosis may be difficult due to negative cultures. Despite adequate treatment outcome tends poor. Cardiac rare. In our patient, the clinical course imaging results infarction are most consistent coronary plaque rupture possibly provoked severe infection multi-organ failure.