Ben Mrad Imtinene, Oumaya Zeineb, Mzoughi Khadija, Kamoun Sofien, Besbes Bouthaina, Jemel Amine, Moussa Fethia Ben, Fennira Sana, Zairi Ihsen, Kraiem Sondos
Department of Cardiology- Habib Thameur Hospital, Tunis, Tunisia.
Cardiovascular Surgery department- Abderrahmen Mami Hospital, Ariana, Tunisia.
IDCases. 2021 Jun 10;25:e01181. doi: 10.1016/j.idcr.2021.e01181. eCollection 2021.
Hydatidosis remains an endemic disease in some regions of the world, such as Tunisia. The liver and the lungs are the most common sites in adults. Mediastinal and pericardial hydatid cysts are very rare even in endemic areas and true incidence has not been described in the literature. We report the case of a 74-year-old woman with clinical, biological and electrocardiographic features of acute myocardial infraction. Two-dimensional echocardiography and detailed imaging revealed a mediastinal and pericardial hydatid cyst. The particularity of the clinical presentation, the complementary investigations as well as the management and follow-up of the patient are discussed. This case is of great interest since the rarity of concomitant hydatid cyst in two uncommon localizations: mediastinum and pericardium, and the unusual incidental discovery during a myocardial infarction.
包虫病在世界上的一些地区，如突尼斯，仍然是一种地方病。肝脏和肺是成人最常见的发病部位。即使在地方病流行地区，纵隔和心包包虫囊肿也非常罕见，文献中尚未描述其真实发病率。我们报告了一例74岁女性患者，具有急性心肌梗死的临床、生物学和心电图特征。二维超声心动图和详细的影像学检查发现了一个纵隔和心包包虫囊肿。本文讨论了该病例临床表现的特殊性、辅助检查以及患者的治疗和随访情况。该病例非常值得关注，因为在两个不常见的部位（纵隔和心包）同时出现包虫囊肿非常罕见，而且是在心肌梗死期间意外发现的。
