Malamou-Mitsi Vassilik, Pappa Lina, Vougiouklakis Theodore, Peschos Dimitrios, Kazakos Nikolaos, Grekas George, Sideris Dimitrios, Agnantis Niki J
Department of Cytopathology, Medical School, University of Ioannina, Greece.
J Forensic Sci. 2002 Sep;47(5):1062-4.
Echinococcosis is an endemic disease, most common in sheep-raising communities, usually caused by the larval or cyst stage of the tapeworm Echinococcus granulosus. Isolated cardiac hydatid cyst is uncommon at any age, occurs through the coronary circulation, and accounts for less than 3% of all hydatid disease. We describe a case of an 1%-year-old female, who died suddenly. The post-mortem examination revealed an isolated cyst in the left ventricle of the heart with intact wall. The cytologic examination of the cyst fluid demonstrated the presence of the characteristic scolices and hooklets and established the diagnosis of cardiac hydatid cyst. The present case is of special interest because of the rare primary localization and the onset of sudden death in a young person as the initial manifestation of the disease.
棘球蚴病是一种地方病，在养羊社区最为常见，通常由细粒棘球绦虫的幼虫或囊肿阶段引起。孤立性心脏包虫囊肿在任何年龄都不常见，通过冠状动脉循环发生，占所有包虫病的比例不到3%。我们描述了一例1岁女性突然死亡的病例。尸检发现心脏左心室有一个孤立的囊肿，壁完整。囊肿液的细胞学检查显示存在特征性的头节和小钩，从而确诊为心脏包虫囊肿。本病例特别引人关注，因为其罕见的原发部位以及在年轻人中以猝死作为疾病的初始表现。
