Younis S N, Faraj A A
Acta Clin Belg. 2014 Jan-Feb;69(1):66-8. doi: 10.1179/0001551213Z.0000000003.
Cardiac Hydatidosis is a rare but potentially very serious complication of hydatid disease. It is a diagnostic and therapeutic challenge due to the variability of signs and symptoms at presentation. A case of disseminated hydatidosis, affecting the heart muscle, which failed to surgical evacuation and followed by spread to the brain and elsewhere in the body, is presented, discussed, together with a review of the literature. The disease, hydatididosis, remains a challenge even in our days. Systematic radical control in the Middle East is required. Alternative surgical options include heart transplantation when the disease affects the heart muscles and there is more than one cyst which fails to surgical evacuation.
心脏包虫病是包虫病一种罕见但可能非常严重的并发症。由于其临床表现的体征和症状具有变异性,因此在诊断和治疗上具有挑战性。本文介绍并讨论了一例播散性包虫病病例,该病累及心肌,手术未能清除病灶,随后扩散至脑部和身体其他部位,并对相关文献进行了综述。即使在当今时代,包虫病仍然是一个难题。中东地区需要进行系统性的根治。当疾病累及心肌且存在多个囊肿无法通过手术清除时,替代手术方案包括心脏移植。