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孤立性髂总动脉瘤与左心室扩张:一石二鸟?

Isolated Common Iliac Aneurysm and Dilated Left Ventricle: Kill Two Birds with One Stone?

作者信息

Cimmino Giovanni, Caputo Adriano, Golino Paolo, Natale Francesco, Loffredo Francesco S

机构信息

Department of Translational Medical Sciences, University of Campania Luigi Vanvitelli, Piazza Miraglia, Italy.

Department of Internal Medicine, Gerontology and Neurology, Vanvitelli Hospital, Piazza Miraglia, Italy.

出版信息

J Cardiovasc Echogr. 2025 Jan-Mar;35(1):55-57. doi: 10.4103/jcecho.jcecho_52_24. Epub 2025 Apr 30.

Abstract

is a nematode commonly known as roundworm. Humans are the primary host for the parasite and are infected when bare skin is exposed to contaminated soil. Once in the skin of the human host, the larvae migrate to the heart through the blood and then to the alveoli of the lungs, subsequently ending up in the trachea where the larvae are coughed up and swallowed. Clinically, this infection may be asymptomatic as well as present as an acute or chronic gastrointestinal discomfort, hyperinfection syndrome, or disseminated disease with the involvement of different organs. Myocarditis and vasculitis have been described. Here, we describe the case of a patient with a history of dilated cardiomyopathy and the novel finding of common iliac artery aneurysm in whose infection might be the trait d'union of these two conditions.

摘要

是一种通常被称为蛔虫的线虫。人类是这种寄生虫的主要宿主,当裸露的皮肤接触到受污染的土壤时就会被感染。一旦进入人类宿主的皮肤,幼虫会通过血液迁移到心脏,然后到达肺部的肺泡,随后进入气管,在那里幼虫会被咳出并吞咽。临床上,这种感染可能无症状,也可能表现为急性或慢性胃肠道不适、超感染综合征或累及不同器官的播散性疾病。已经描述过心肌炎和血管炎。在此,我们描述了一例有扩张型心肌病病史的患者,并首次发现其髂总动脉瘤,感染可能是这两种情况的联系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74a3/12129272/aead6c6d80fe/JCE-35-55-g001.jpg

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