Author's reply

Diagnosis of invasive pulmonary aspergillosis was done in our patient on the basis of isolation of an Aspergillus species from the sputum and from bronchoalveolar lavage samples. Pericardial and myocardial aspergillosis are though rare manifestations of systemic aspergillosis, cardiac involvement by aspergillus species, may result from the contagious spread from the lungs or by the hematogenous route of spread which can also result in arrhythmias and death.[5] Hence, the myocardial ischemic signs and symptoms of our patient might be either due to allergic or hypersensitivity and anaphylactic or anaphylactoid reactions due to the drug or might be a result of disseminated systemic aspergillosis.