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非典型定位的包虫病:三例报告及文献综述

Hydatidosis with Atypical Localization: Report of Three Cases and Literature Review.

作者信息

Kharrat Sana, Bahloul Mabrouk, Toumi Nozha, Bougharriou Sadok, Hadded Amina, Ben Hamida Chokri

机构信息

Department of Intensive Care, Habib Bourguiba University Hospital, Sfax University, Sfax, Tunisia.

Department of Radiology, Habib Bourguiba University Hospital, Sfax University, Sfax, Tunisia.

出版信息

Am J Trop Med Hyg. 2025 May 6;113(1):9-12. doi: 10.4269/ajtmh.24-0704. Print 2025 Jul 2.

Abstract

Echinococcosis is a common parasitic disease with a heavy public health burden in many geographic regions and populations, mainly in the Mediterranean basin, Western China, Central Asia and South America. Most often, echinococcosis affects the liver and lungs. Despite being rare, other organ involvement may occur. We report three original cases of atypical localization of hydatid cysts from diagnosis to treatment to underline this disease's challenges. The affected organs are bone, heart, and brain. Thus, in endemic regions, hydatid cysts should be considered as a differential diagnosis of patients with cystic masses, even in unusual sites. These cases highlight the importance for clinicians to remain vigilant for atypical localizations of echinococcosis, emphasizing the need for early recognition and accurate diagnosis, even in uncommon sites.

摘要

棘球蚴病是一种常见的寄生虫病,在许多地理区域和人群中造成沉重的公共卫生负担,主要分布在地中海盆地、中国西部、中亚和南美洲。棘球蚴病最常累及肝脏和肺脏。尽管罕见,但也可能累及其他器官。我们报告3例从诊断到治疗的包虫囊肿非典型定位的原始病例,以强调这种疾病的挑战性。受累器官为骨骼、心脏和大脑。因此,在流行地区,即使在不寻常的部位,包虫囊肿也应被视为囊性肿块患者的鉴别诊断。这些病例凸显了临床医生对棘球蚴病非典型定位保持警惕的重要性,强调即使在不常见的部位也需要早期识别和准确诊断。

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本文引用的文献

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[Cardiac hydatid cyst].
Khirurgiia (Mosk). 2022(4):101-104. doi: 10.17116/hirurgia2022041101.
6
Echinococcosis of the spine.脊柱棘球蚴病
EFORT Open Rev. 2021 Apr 1;6(4):288-296. doi: 10.1302/2058-5241.6.200130. eCollection 2021 Apr.
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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.
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Cardiac hydatid cyst of the right ventricle: Severe localization.右心室心脏包虫囊肿:严重的定位情况。
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