Ben-Musa A A, Singh H, Shembesh A H, Chugh J C
Department of Pediatrics, Al Fatah Children's Hospital, Faculty of Medicine, Al Arab Medical University, Benghazi, Libya.
Clin Pediatr (Phila). 1990 Jul;29(7):409-11. doi: 10.1177/000992289002900710.
Presentation of hydatid disease is uncommon in children, and cardiac hydatid cyst is rare at any age. The authors discuss a pediatric patient with cardiac hydatid cyst in the posterior wall of the left ventricle. The cyst was diagnosed by two-dimensional echocardiography and by serology. A 3 month course of mebendazole therapy was only partially effective. The patient remains asymptomatic 2 years after diagnosis. HYDATID DISEASE is endemic in the Middle East. In a study from a surgical hospital in eastern Libya, the disease accounted for 0.89 percent of all hospital admissions. The echinococcus cyst grows very slowly and unless located in a critical anatomic site, it takes many years to evolve. Consequently, presentation in pediatric patients is distinctly uncommon. In an epidemiologic study from Benghazi, only 11.7 percent of patients were under 10 years old. Cardiac hydatid disease is rare at any age, accounting for less than 2 percent of all hydatid disease. Since the introduction of two-dimensional echocardiography, more cases are being diagnosed. All the reports in the recent literature are in adult patients. We report here, however, a cardiac hydatid cyst in the left ventricular wall in a child.
包虫病在儿童中的表现并不常见，而心脏包虫囊肿在任何年龄段都很罕见。作者讨论了一名左心室后壁有心脏包虫囊肿的儿科患者。该囊肿通过二维超声心动图和血清学诊断。3个月的甲苯达唑治疗仅部分有效。患者在诊断后2年仍无症状。包虫病在中东地区为地方病。在利比亚东部一家外科医院的一项研究中，该病占所有住院患者的0.89%。棘球蚴囊肿生长非常缓慢，除非位于关键解剖部位，否则需要多年时间才会发展。因此，儿科患者的表现明显不常见。在班加西的一项流行病学研究中，只有11.7%的患者年龄在10岁以下。心脏包虫病在任何年龄段都很罕见，占所有包虫病的比例不到2%。自从二维超声心动图问世以来，诊断出的病例越来越多。最近文献中的所有报告都是关于成年患者的。然而，我们在此报告一名儿童左心室壁的心脏包虫囊肿。
