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心脏包虫囊肿并发肺包虫栓塞——一例报告

Hydatid pulmonary embolism underlying cardiac hydatid cysts - A case report.

作者信息

Essolaymany Zineb, Amara Bouchra, Khacha Anass, El Bouardi Nizar, Haloua Meriem, Alaoui Lamrani Moulay Youssef, Boubbou Meryem, Serraj Mounia, Maâroufi Mustapha, Alami Badreeddine

机构信息

Radiology Department, CHU Hassan II, Fez, Morocco.

Faculty of Medicine and Pharmacy of Fez, University Sidi Mohammed Ben Abdellah, Morocco.

出版信息

Respir Med Case Rep. 2023 May 1;44:101856. doi: 10.1016/j.rmcr.2023.101856. eCollection 2023.

Abstract

Cystic hydatidosis is an endemic parasitic disease with usual localization in liver and lungs. Rarely it localizes in uncommon sites, the right ventricle being an exceptional localization. We present an extremely rare case of a young man with hydatid pulmonary embolism complicating right-ventricle hydatid cysts. Echocardiography, CT pulmonary angiogram and MR-angiography were performed for the diagnostic evaluation. Our patient did not undergo surgery. He was discharged on a regimen of albendazole, and is still being followed-up. Hydatid disease rarely presents with pulmonary embolism. It has uncharacteristic clinical features, requiring particular diagnosis and therapy.

摘要

囊型包虫病是一种地方性寄生虫病,通常定位于肝脏和肺部。很少会定位于不常见的部位,右心室就是一个特殊的定位部位。我们报告一例极其罕见的年轻男性病例,其患有包虫性肺栓塞,并发右心室包虫囊肿。进行了超声心动图、CT肺血管造影和磁共振血管造影以进行诊断评估。我们的患者未接受手术。他出院时接受阿苯达唑治疗方案,目前仍在随访中。包虫病很少表现为肺栓塞。它具有不典型的临床特征,需要特殊的诊断和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51de/10302506/bdc6869b10e3/gr1.jpg

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