一名患有肝脾血吸虫病的患者出现巨大血栓形成的肺动脉瘤，且无肺动脉高压。
A huge thrombosed pulmonary artery aneurysm without pulmonary hypertension in a patient with hepatosplenic schistosomiasis.
作者信息
Abo-Salem Elsayed S, Ramadan Mahmoud M
机构信息
Department of Cardiology, Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt.
出版信息
Am J Case Rep. 2015 Mar 8;16:140-5. doi: 10.12659/AJCR.892451.
BACKGROUND
We herein report a case of huge pulmonary artery aneurysm in a 55-year-old male farmer from the Nile delta (Lower-Egypt), mostly due to infestation with Schistosoma mansoni, which is the parasite causing hepatosplenic schistosomiasis.
CASE REPORT
This male patient was admitted with a month-long history of progressive shortness of breath, 2-month history of fever, and a cough with mucoid sputum for 10 days. On examination, he had normal temperature and blood pressure, but he had tachypnea, tachycardia, and congested neck veins. Electrocardiography showed multifocal atrial tachycardia and right bundle branch block.
CONCLUSIONS
The present case is unique in that it shows the presence of a huge pulmonary artery aneurysm despite the absence of pulmonary hypertension.
背景
我们在此报告一例来自尼罗河三角洲（埃及下埃及地区）的55岁男性农民患有巨大肺动脉瘤的病例，主要病因是感染曼氏血吸虫，该寄生虫可引发肝脾血吸虫病。
病例报告
该男性患者因进行性气短1个月、发热2个月、伴有黏液样痰咳嗽10天入院。检查发现，他体温和血压正常，但呼吸急促、心动过速且颈静脉充血。心电图显示多灶性房性心动过速和右束支传导阻滞。
结论
本病例的独特之处在于，尽管没有肺动脉高压，但仍存在巨大肺动脉瘤。
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