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以心悸为唯一主诉的心脏包虫病:巢中之卵

Cardiac Hydatid Disease with Palpitations as the Only Presenting Complaint: The Egg in the Nest.

作者信息

Azari Ali, Bigdelu Leila, Maadarani Ossama, Bitar Zouheir

机构信息

Division of Cardiovascular Medicine, Vascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Critical Care Unit, Internal Medical Department, Ahmadi Hospital-Kuwait Oil Company, Kuwait.

出版信息

Eur J Case Rep Intern Med. 2023 Apr 27;10(5):003886. doi: 10.12890/2023_003886. eCollection 2023.

Abstract

UNLABELLED

Hydatid disease, also known as cystic echinococcosis, is a parasitic infection caused by the larval stage of . It usually invades organs such as the liver and the lungs but can affect any organ. Isolated cardiac involvement is a rare manifestation. We present a case of isolated left ventricle hydatid cyst with negative serological tests, which was treated with surgical removal and confirmed by histopathological examination.

LEARNING POINTS

Isolated cardiac hydatid disease is rare and accounts for only 0.5-2% of cases among infected patients.Cardiac hydatidosis may present with a wide variety of clinical manifestations ranging from no symptoms to sudden death; palpitations may be the only complaint.Surgical excision is the treatment of choice for cardiac hydatid disease to avoid high-risk complications.

摘要

未标注

包虫病,又称囊型棘球蚴病,是由 的幼虫阶段引起的寄生虫感染。它通常侵袭肝脏和肺等器官,但可影响任何器官。孤立性心脏受累是一种罕见表现。我们报告一例血清学检查阴性的孤立性左心室包虫囊肿病例,该病例经手术切除治疗,并经组织病理学检查确诊。

学习要点

孤立性心脏包虫病罕见,在感染患者中仅占病例的0.5 - 2%。心脏包虫病可能表现出从无症状到猝死的多种临床表现;心悸可能是唯一的主诉。手术切除是心脏包虫病的首选治疗方法,以避免高风险并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4581/10187103/33f5d68a7fc1/3886_Fig1.jpg

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