PDF(Pubmed)
Abstract：
BACKGROUND: Cystic Hydatid disease is a parasitic infection with a worldwide distribution. It is caused by the larval stages of a species of tapeworms known as Echinococcus granulosus. Even in endemic areas; Cardiac involvement by hydatidiosis is very rare and has atypical presentations as well as localization which make it undiagnosed in about 10% of cases. The left ventricle is the most Common chamber involved by the hydatid cyst and isolated involvement of the right ventricle is very rare, especially in children. The aim of the present study was to describe hydatid cardiac cyst of the right ventricle of a child.
METHODS: We present a rare case of an 8 year-old boy, living in a rural area, who was diagnosed with a cardiac hydatid cyst in the right ventricle. He also had multiple pulmonary hydatid cysts and presented with dyspnea, cough and atypical chest pain. The patient underwent surgery for the resection of pulmonary cysts and, subsequently, cardiac hydatid cyst. The outcome was favorable seven weeks after surgery and there was no clinical and echocardiographic recurrence.
CONCLUSIONS: Cardiac Echinococcosis must be suspected in endemic areas, diagnosed with appropriate imaging techniques, and treated appropriately.
METHODS: We present a rare case of an 8 year-old boy, living in a rural area, who was diagnosed with a cardiac hydatid cyst in the right ventricle. He also had multiple pulmonary hydatid cysts and presented with dyspnea, cough and atypical chest pain. The patient underwent surgery for the resection of pulmonary cysts and, subsequently, cardiac hydatid cyst. The outcome was favorable seven weeks after surgery and there was no clinical and echocardiographic recurrence.
CONCLUSIONS: Cardiac Echinococcosis must be suspected in endemic areas, diagnosed with appropriate imaging techniques, and treated appropriately.
摘要：
背景：囊性包虫病是一种全球分布的寄生虫感染。它是由一种称为细粒棘球蚴的tape虫的幼虫阶段引起的。即使在流行地区；葡萄胎引起的心脏受累非常罕见，并且具有非典型表现以及局部化，使其在大约10％的病例中无法诊断。左心室是包虫囊肿最常见的腔室，右心室的孤立受累非常罕见，尤其是儿童。本研究的目的是描述儿童右心室的包虫心脏囊肿。
方法：我们介绍了一个8岁男孩的罕见病例，生活在农村地区，被诊断为右心室有一个心脏包虫囊肿.他还患有多个肺包虫囊肿，并表现为呼吸困难，咳嗽和不典型的胸痛。该患者接受了切除肺囊肿的手术，随后,心脏包虫囊肿.手术后7周预后良好，没有临床和超声心动图复发。
结论：必须在流行地区怀疑心脏棘球蚴病，用适当的成像技术诊断，并得到适当的对待。
方法：我们介绍了一个8岁男孩的罕见病例，生活在农村地区，被诊断为右心室有一个心脏包虫囊肿.他还患有多个肺包虫囊肿，并表现为呼吸困难，咳嗽和不典型的胸痛。该患者接受了切除肺囊肿的手术，随后,心脏包虫囊肿.手术后7周预后良好，没有临床和超声心动图复发。
结论：必须在流行地区怀疑心脏棘球蚴病，用适当的成像技术诊断，并得到适当的对待。
