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阿苯达唑与吡喹酮联合治疗心脏及多器官包虫囊肿：新型治疗方法的病例报告及文献综述

Combination Therapy of Albendazole and Praziquantel for Treatment of Cardiac and Multiorgan Hydatid Cyst: A Case Report of Novel Treatment and Literature Review.

作者信息

Najdaghi Soroush, Alizadehasl Azin, Abbaszade Narguess, Jebelli Seyedeh Fatemeh Hosseini, Davani Delaram Narimani, Aliabadi Azam Yalameh, Haghazali Mehrdad, Gloverdi Alireza Yaghoubi

机构信息

Heart Failure Research Center, Cardiovascular Research Institute Isfahan University of Medical Science Isfahan Iran.

Cardio-Oncology Research Center Rajaie Cardiovascular Medical and Research Institute Tehran Iran.

出版信息

Clin Case Rep. 2024 Nov 29;12(12):e9610. doi: 10.1002/ccr3.9610. eCollection 2024 Dec.

DOI:10.1002/ccr3.9610
PMID:39619313
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11605159/
Abstract

Cardiac hydatid cysts (CHC) are rare complications of echinococcosis, often presenting diagnostic and therapeutic challenges. We report a case of recurrent CHC in a 35-year-old male with a history of cerebral and pelvic hydatid cysts. Diagnostic imaging revealed significant cardiac involvement, necessitating surgical intervention. Postoperative management included a combination of albendazole and praziquantel, resulting in marked improvement during follow-up. This case highlights the complexities of treating recurrent CHC and suggests that combination therapy may offer benefits in managing extensive cysts. Further research is needed to refine treatment strategies for such cases.

摘要

心脏包虫囊肿（CHC）是棘球蚴病的罕见并发症，常常带来诊断和治疗方面的挑战。我们报告一例35岁男性复发性CHC病例，该患者有脑和盆腔包虫囊肿病史。诊断性影像学检查显示心脏受累严重，需要进行手术干预。术后管理包括阿苯达唑和吡喹酮联合使用，随访期间病情显著改善。该病例凸显了复发性CHC治疗的复杂性，并表明联合治疗可能对处理广泛囊肿有益。需要进一步研究以完善此类病例的治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/11605159/5c5ec2edf233/CCR3-12-e9610-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/11605159/eaca4deb8fbf/CCR3-12-e9610-g003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/11605159/2d3a769bf39e/CCR3-12-e9610-g007.jpg
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本文引用的文献

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Treatment of hepatic and pulmonary hydatidosis with albendazole and praziquantel.用阿苯达唑和吡喹酮治疗肝肺包虫病。
Helminthologia. 2023 Dec 26;60(3):221-226. doi: 10.2478/helm-2023-0028. eCollection 2023 Sep.
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Cardiac hydatid disease; a systematic review.心脏包虫病；系统综述。
BMC Infect Dis. 2023 Sep 13;23(1):600. doi: 10.1186/s12879-023-08576-3.
3
Cardiac Hydatid Cyst: An Uncommon Cause of Complete Atrioventricular Block.心脏包虫囊肿：完全性房室传导阻滞的一种不常见病因。
Arq Bras Cardiol. 2023 May 26;120(5):e20220597. doi: 10.36660/abc.20220597. eCollection 2023.
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Hydatid Disease: A Radiological Pictorial Review of a Great Neoplasms Mimicker.包虫病：一种极易被误诊为肿瘤的疾病的影像学图像综述
Diagnostics (Basel). 2023 Mar 16;13(6):1127. doi: 10.3390/diagnostics13061127.
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Central nervous system cystic echinococcosis: a systematic review.中枢神经系统囊型包虫病：一项系统评价
Germs. 2022 Jun 30;12(2):283-291. doi: 10.18683/germs.2022.1330. eCollection 2022 Jun.
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Cardiac hydatid cysts in a young man: A case report and a literature review.一名年轻男性的心脏包虫囊肿：病例报告及文献综述
Exp Ther Med. 2022 Jul 1;24(3):550. doi: 10.3892/etm.2022.11487. eCollection 2022 Sep.
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Multimodality imaging of an interventricular septum hydatid cyst.室间隔包虫囊肿的多模态成像
Egypt Heart J. 2021 Mar 9;73(1):23. doi: 10.1186/s43044-021-00147-8.
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Radiological imaging of pericardial hydatid cyst.心包包虫囊肿的放射影像学检查
Rev Soc Bras Med Trop. 2021 Mar 8;54. doi: 10.1590/0037-8682-0753-2020. eCollection 2021.
9
Surgical Management and Outcomes of Cardiac and Great Vessels Echinococcosis: A 16-Year Experience.心脏和大血管包虫病的手术治疗和结局：16 年经验。
Ann Thorac Surg. 2020 Oct;110(4):1333-1338. doi: 10.1016/j.athoracsur.2020.01.065. Epub 2020 Mar 4.
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Cardiac hydatid cyst in the interventricular septum: A literature review.室间隔中的心脏包虫囊肿：文献综述。
Int J Infect Dis. 2019 Nov;88:120-126. doi: 10.1016/j.ijid.2019.09.004. Epub 2019 Sep 6.