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心脏囊尾蚴病合并蛇咬伤的协同表现:一例报告及文献综述

Synergistic Manifestations in Cardiac Cysticercosis Complicated by Snake Bite: A Case Report and Literature Review.

作者信息

Meshram Raviprakash, Vaibhav Vikas, S Yashpal, Singh Ashok, Parate Shailesh, Khorwal Gitanjali, Sharma Kshitiza, Sharma Rahul

机构信息

Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.

Pathology/Histopathology/Renal Pathology, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.

出版信息

Cureus. 2024 Apr 22;16(4):e58789. doi: 10.7759/cureus.58789. eCollection 2024 Apr.

DOI:10.7759/cureus.58789
PMID:38784302
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11112136/
Abstract

Cysticercosis presents a prevalent issue on a global scale. Nevertheless, disseminated cysticercosis (DCC) is infrequent; even rarer is asymptomatic DCC. Here, we present a unique case of asymptomatic DCC involving the heart in a young male who came to medical attention following a fatal snake bite, ultimately leading to his demise. Despite the widespread dissemination of cysticercosis affecting multiple organs, the individual remained asymptomatic for the condition. We present a case of a 23-year-old male who was brought to the emergency department with a history of alleged snake bites. The patient was declared dead upon arrival at the All India Institute of Medical Sciences (AIIMS), Rishikesh, India. Autopsy findings revealed multiple significant cardiac abnormalities, including atheromatous changes with calcification in the root of the aorta and aortic valve, along with numerous collateral vessels originating from the left main coronary artery. Additionally, cystic nodules containing cysticercus larvae were identified within the myocardium, suggesting cardiac cysticercosis. The cause of death was determined to be complications related to the snakebite. This case emphasizes the importance of considering multiple potential etiologies in complex clinical presentations, especially in the tropics.

摘要

囊尾蚴病是一个全球范围内普遍存在的问题。然而,播散性囊尾蚴病(DCC)并不常见;无症状性DCC则更为罕见。在此,我们报告一例独特的无症状性DCC累及心脏的病例,患者为一名年轻男性,因致命蛇咬伤前来就医,最终死亡。尽管囊尾蚴病广泛播散累及多个器官,但该个体对此病仍无症状。我们报告一例23岁男性,因据称的蛇咬伤病史被送往急诊科。该患者抵达印度瑞诗凯诗的全印度医学科学研究所(AIIMS)时被宣布死亡。尸检结果显示多项严重的心脏异常,包括主动脉根部和主动脉瓣的动脉粥样硬化改变伴钙化,以及多条发自左主冠状动脉的侧支血管。此外,在心肌内发现含有囊尾蚴幼虫的囊性结节,提示心脏囊尾蚴病。死亡原因确定为与蛇咬伤相关的并发症。该病例强调了在复杂的临床表现中,尤其是在热带地区,考虑多种潜在病因的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c341/11112136/38d5bd1598dd/cureus-0016-00000058789-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c341/11112136/5296070745ac/cureus-0016-00000058789-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c341/11112136/96f03b161eb5/cureus-0016-00000058789-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c341/11112136/931340a9a83b/cureus-0016-00000058789-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c341/11112136/fabae4afc9f5/cureus-0016-00000058789-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c341/11112136/adc09b1e0d65/cureus-0016-00000058789-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c341/11112136/38d5bd1598dd/cureus-0016-00000058789-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c341/11112136/5296070745ac/cureus-0016-00000058789-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c341/11112136/96f03b161eb5/cureus-0016-00000058789-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c341/11112136/931340a9a83b/cureus-0016-00000058789-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c341/11112136/fabae4afc9f5/cureus-0016-00000058789-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c341/11112136/adc09b1e0d65/cureus-0016-00000058789-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c341/11112136/38d5bd1598dd/cureus-0016-00000058789-i06.jpg

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