Keil W, Pankratz H, Szabados A, Baur C
Institut für Rechtsmedizin, Ludwig-Maximilians-Universität München.
Dtsch Med Wochenschr. 1997 Mar 7;122(10):293-6. doi: 10.1055/s-2008-1047611.
A 45-year-old woman from Turkey who had been living in Germany for 6 years, suddenly became short of breath, developed seizures and died within 2 minutes. There was no evidence of previous illness.
At autopsy a large hydatid and many other hydatids of varying sizes were found inside the left heart. Rupture of one of the hydatid cysts in the left atrium had caused embolism to the arterial system. The cyst walls showed typical laminar cuticular structure. The sediments of the cyst fluid contained scolices of Echinococcus granulosus, but no antibodies were demonstrated by indirect haemagglutination.
This is a rare case of Echinococcus granulosus infection, limited to the heart, which had followed an asymptomatic course until sudden death caused by arterial embolism of the hydatids. Such diagnosis should be considered in case of sudden death of persons from areas in which the disease is endemic.
一名来自土耳其的45岁女性，已在德国生活6年，突然出现呼吸急促、癫痫发作，并在2分钟内死亡。既往无疾病史。
尸检发现左心室内有一个大的包虫囊肿以及许多其他大小不一的包虫囊肿。左心房的一个包虫囊肿破裂导致动脉系统栓塞。囊肿壁显示出典型的分层角质结构。囊液沉淀物中含有细粒棘球绦虫的头节，但间接血凝试验未检测到抗体。
这是一例罕见的局限于心脏的细粒棘球绦虫感染病例，在因包虫动脉栓塞导致猝死之前一直无症状。对于来自该病流行地区的人员突然死亡的情况，应考虑这种诊断。
