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儿童呼吸困难的罕见病因:棘球蚴所致的包虫囊肿。

A Very Rare Cause of Dyspnea in a Child: A Hydatid Cyst From Echinococcus.

机构信息

Department for Cardiac Surgery, University Hospital Zürich, Zürich, Switzerland.

Clinic for Cardiac Surgery, Republican Specialized Center for Cardiology, Tashkent, Uzbekistan.

出版信息

World J Pediatr Congenit Heart Surg. 2024 Jan;15(1):112-114. doi: 10.1177/21501351231178757. Epub 2023 Jun 20.

Abstract

Hydatid cyst is a human parasitic disease caused by echinococcus granulosus that affects mainly the liver or the lungs but may be found in any organ, including the heart in up to 2% of the cases. Humans are infected as accidental hosts by contaminated vegetables or water and by contact with saliva from infected animals. Although cardiac echinococcosis can be fatal, it is rare and often asymptomatic in the early stage. We present the case of a young boy living on a farm who suffered from mild exertional dyspnea. He suffered from pulmonary and cardiac echinococcosis and was treated surgically through median sternotomy to prevent potential cystic rupture.

摘要

包虫囊肿是一种由细粒棘球绦虫引起的人类寄生虫病,主要影响肝脏或肺部,但也可能发生在任何器官,包括心脏,在 2%的病例中。人类作为偶然宿主,通过受污染的蔬菜或水以及接触受感染动物的唾液而感染。虽然心脏包虫病可能致命,但在早期阶段很少见且通常无症状。我们介绍了一个住在农场的小男孩的病例,他患有轻度运动性呼吸困难。他患有肺包虫病和心脏包虫病,并通过正中胸骨切开术进行手术治疗,以防止潜在的囊肿破裂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e0d/10729526/1c03fe868849/10.1177_21501351231178757-fig1.jpg

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