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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.

DOI:10.1177/21501351231178757
PMID:37340730
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10729526/
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/10729526/641de03c5816/10.1177_21501351231178757-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e0d/10729526/1c03fe868849/10.1177_21501351231178757-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e0d/10729526/4b5e26607c97/10.1177_21501351231178757-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e0d/10729526/641de03c5816/10.1177_21501351231178757-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e0d/10729526/1c03fe868849/10.1177_21501351231178757-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e0d/10729526/4b5e26607c97/10.1177_21501351231178757-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e0d/10729526/641de03c5816/10.1177_21501351231178757-fig3.jpg

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A Very Rare Cause of Dyspnea in a Child: A Hydatid Cyst From Echinococcus.儿童呼吸困难的罕见病因:棘球蚴所致的包虫囊肿。
World J Pediatr Congenit Heart Surg. 2024 Jan;15(1):112-114. doi: 10.1177/21501351231178757. Epub 2023 Jun 20.
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引用本文的文献

1
Response to: Importance of Comprehensive Reporting in Rare Pediatric Cases: Insights From a Cardiac Echinococcosis Case Report.回应:罕见儿科病例综合报告的重要性:来自心脏包虫病病例报告的见解
World J Pediatr Congenit Heart Surg. 2025 Jan;16(1):142. doi: 10.1177/21501351241292622. Epub 2024 Nov 6.

本文引用的文献

1
Giant Hydatid Cyst with Diaphragmatic, Pericardial, and Hepatic Involvement: Use of Extracorporeal Circulation for Major Liver Resection: A Case Report and Literature Review.巨大肝包虫囊肿累及膈肌、心包和肝脏:体外循环在大肝切除术中的应用:病例报告及文献复习。
Am J Case Rep. 2023 Mar 6;24:e938601. doi: 10.12659/AJCR.938601.
2
The 'beating-heart butterfly technique' for repair of basal post-infarction ventricle septum defect.“心脏不停跳蝶式技术”修复基底节后梗死室间隔缺损。
Interact Cardiovasc Thorac Surg. 2022 May 2;34(5):919-920. doi: 10.1093/icvts/ivac026.
3
Paediatric pulmonary echinococcosis: A neglected disease.
小儿肺包虫病:一种被忽视的疾病。
Paediatr Respir Rev. 2022 Sep;43:11-23. doi: 10.1016/j.prrv.2021.11.001. Epub 2021 Dec 3.
4
A Unique Case of Cardiac Echinococcus multilocularis.一例罕见的多房棘球绦虫性心脏病病例
Indian Pediatr. 2020 Dec 15;57(12):1181-1182. doi: 10.1007/s13312-020-2076-3.
5
A cardiac hydatid cyst mimicking a pericardial tumour in a paediatric case.一例小儿病例中酷似心包肿瘤的心脏包虫囊肿。
Cardiol Young. 2019 Feb;29(2):244-246. doi: 10.1017/S1047951118002032. Epub 2018 Dec 4.
6
Incidental finding of cardiac hydatid cysts, report of two cases.心脏包虫囊肿的偶然发现:两例报告
BMC Med Imaging. 2018 Aug 13;18(1):22. doi: 10.1186/s12880-018-0268-2.
7
Surgical overview of cardiac echinococcosis: a rare entity.心脏包虫病的外科概述:一种罕见病症。
Interact Cardiovasc Thorac Surg. 2018 Aug 1;27(2):191-197. doi: 10.1093/icvts/ivy053.
8
Can albendazole be the only treatment for cardiac echinococcosis with multiple organ involvement?阿苯达唑能否作为治疗累及多器官的心脏包虫病的唯一疗法?
Int J Cardiol. 2012 Nov 29;161(3):e58-60. doi: 10.1016/j.ijcard.2012.04.082. Epub 2012 May 4.