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心肺包虫感染

Cardiopulmonary Echinococcus Infection.

作者信息

Almaazmi Naama A R, Alshebli Zainab, Alneyadi Nour, AlAmri Abdulla S, Ahmad Amna Z, AlHammadi Ahmed A K

机构信息

Division of Infectious Disease, Department of Internal Medicine, Sheikh Tahnoon Bin Mohammed Medical City, Al Ain, United Arab Emirates.

Department of Internal Medicine, Sheikh Tahnoon Bin Mohammed Medical City, Al Ain, United Arab Emirates.

出版信息

Am J Trop Med Hyg. 2025 Feb 25;112(5):1006-1009. doi: 10.4269/ajtmh.24-0761. Print 2025 May 7.

Abstract

Cystic echinococcosis (CE), a zoonotic infection caused by Echinococcus granulosus, primarily affects the liver and lungs. However, cardiac involvement is uncommon. This case report presents an unusual instance of heart involvement in a patient with CE. A 28-year-old man from India presented with a persistent cough and hemoptysis. Imaging revealed bilateral lung lesions along with cystic lesions in his right ventricle. The echinococcal serology result was positive, and a surgical biopsy from the lung demonstrated necrotizing granulomatous inflammation with laminated eosinophilic material, consistent with echinococcosis. This case highlights the possibility of cardiac involvement in CE and the challenges associated with its diagnosis and management.

摘要

囊型包虫病(CE)是由细粒棘球绦虫引起的一种人畜共患感染,主要影响肝脏和肺部。然而,心脏受累并不常见。本病例报告展示了一例囊型包虫病患者心脏受累的罕见情况。一名来自印度的28岁男性出现持续咳嗽和咯血症状。影像学检查显示双侧肺部病变以及右心室内的囊性病变。棘球蚴血清学检查结果呈阳性,肺部手术活检显示坏死性肉芽肿性炎症,伴有嗜酸性分层物质,符合包虫病表现。该病例突出了囊型包虫病心脏受累的可能性及其诊断和管理所面临的挑战。

相似文献

1
Cardiopulmonary Echinococcus Infection.心肺包虫感染
Am J Trop Med Hyg. 2025 Feb 25;112(5):1006-1009. doi: 10.4269/ajtmh.24-0761. Print 2025 May 7.

本文引用的文献

1
Cardiac cystic echinococcosis-A systematic review and analysis of the literature.心脏包虫病——系统综述和文献分析。
PLoS Negl Trop Dis. 2024 May 30;18(5):e0012183. doi: 10.1371/journal.pntd.0012183. eCollection 2024 May.
2
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
Tension pneumothorax caused by the ruptured hydatid cyst of the lung.肺包虫囊肿破裂导致张力性气胸。
Clin Case Rep. 2023 Jul 6;11(7):e07542. doi: 10.1002/ccr3.7542. eCollection 2023 Jul.
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Incidental Left Ventricular Myocardial Hydatid Cyst - A case report.偶然发现的左心室心肌包虫囊肿——一例报告
Radiol Case Rep. 2021 Dec 15;17(3):496-501. doi: 10.1016/j.radcr.2021.11.040. eCollection 2022 Mar.
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Cardiac echinococcosis: a multimodality approach.心脏包虫病:一种多模态治疗方法。
Eur Heart J Case Rep. 2021 Nov 25;5(12):ytab475. doi: 10.1093/ehjcr/ytab475. eCollection 2021 Dec.
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Primary cardiac hydatic cyst with multiple locations: an unusual case of chest pain.原发性心脏包虫囊肿多处发生:一例胸痛不常见病例。
Gen Thorac Cardiovasc Surg. 2021 Jul;69(7):1147-1150. doi: 10.1007/s11748-021-01631-3. Epub 2021 Apr 12.

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