Weinzierl M, Büll U, Kruis W, Eisenburg J
MMW Munch Med Wochenschr. 1977 Nov 4;119(44):1419-22.
Four months before her death of right heart failure, a 38-year-old woman with a known inoperable echinococcosis of the liver developed fever, increasing eosinophilia and pleuropneumonia. After improvement of the clinical, radiological and laboratory parameters under steroid medication, two months before her death hemoptysis and multifocal perfusion defects in the lung scintigram as a sign of pulmonary embolism occurred, for which heparin therapy was introduced. At autopsy a recurrent embolization due to echinococcus cysts with extensive displacement of the arterial pulmonary blood circulation were found.
一名38岁患有已知无法手术治疗的肝包虫病的女性，在因右心衰竭去世前四个月，出现发热、嗜酸性粒细胞增多及胸膜肺炎。在类固醇药物治疗下临床、放射学及实验室指标有所改善后，她在去世前两个月出现咯血及肺闪烁扫描显示多灶性灌注缺损，提示肺栓塞，随即开始肝素治疗。尸检发现因包虫囊肿导致反复栓塞，伴有肺动脉血液循环广泛移位。
