Ionescu Simona Daniela, Ouatu Anca, Manea Paloma, Tănase Daniela Maria
Universitatea de Medicină şi Farmacie "Gr. T. Popa" Iaşi.
Rev Med Chir Soc Med Nat Iasi. 2011 Oct-Dec;115(4):1107-12.
We report the case of a 79-year-old woman admitted for sepsis from a hepatic hydatid cyst with multiple disseminations diagnosed one month earlier who refused the surgical treatment. Her family history was irrelevant with regard to the circumstances leading to Taenia Echinococcus infestation, and given her poor health status and absence of previous medical documents no useful information was obtained from her medical history. The patient also presented chronic ischemic heart disease and anemia secondary to a bleeding duodenal ulcer, found at necropsy, which worsened the already unfavorable course by the acute hepatic and renal failure secondary to toxic and septic shock. Despite the complex treatment, death occurred 6 days later, following a second episode of upper digestive hemorrhage. Particular to this case is the absence in patient's history of the anaphylactic/allergic reactions suggestive of hepatic hydatid cyst dissemination.
我们报告了一例79岁女性病例，该患者因肝包虫囊肿伴多发播散导致的脓毒症入院，一个月前被诊断出此病，她拒绝接受手术治疗。就导致细粒棘球绦虫感染的情况而言，其家族史并无关联，且鉴于她健康状况不佳且既往无医疗记录，从其病史中未获取到有用信息。患者还患有慢性缺血性心脏病以及尸检时发现的十二指肠溃疡出血继发的贫血，这因中毒性和感染性休克继发的急性肝肾功能衰竭而使本就不利的病程更加恶化。尽管进行了复杂的治疗，但在第二次上消化道出血发作6天后患者死亡。该病例的特殊之处在于患者病史中没有提示肝包虫囊肿播散的过敏/变态反应。
