Ruiz-Castro M, Vidal-Marcos A, de Frutos S, Infante B, Ramos-López M A, Sanz-García M
Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid.
Rev Esp Anestesiol Reanim. 1997 Oct;44(8):321-3.
We report the case of a 66-year-old woman with moderate-to-severe mitral stenosis who survived anaphylactic shock due to traumatic rupture of a hydatid liver cyst. Hydatid liver disease was diagnosed by ultrasound, and necessary life-support measures were taken, with hydration to restore electrolytic balance and vasoactive amines. The suspected diagnosis of hydatid liver cyst rupture was confirmed surgically. We discuss the immunologic mechanisms of anaphylactic shock and its treatment, and emphasize that Echinococcus liver cysts should be suspected in cases of anaphylaxis of uncertain etiology. Acute vascular collapse, generalized cutaneous erythema, urticaria and edema are suggestive of anaphylaxis arising from hydatidosis, particularly when patients reside in endemic areas.
我们报告了一例66岁中度至重度二尖瓣狭窄女性患者，其因肝包虫囊肿外伤性破裂导致过敏性休克而存活。通过超声诊断出肝包虫病，并采取了必要的生命支持措施，包括补液以恢复电解质平衡和使用血管活性胺类药物。肝包虫囊肿破裂的疑似诊断通过手术得到证实。我们讨论了过敏性休克的免疫机制及其治疗方法，并强调在病因不明的过敏反应病例中应怀疑肝棘球蚴囊肿。急性血管虚脱、全身性皮肤红斑、荨麻疹和水肿提示由包虫病引起的过敏反应，特别是当患者居住在流行地区时。
