囊虫病在全球范围内是一个普遍的问题。然而,播散性囊虫病(DCC)很少发生;甚至更罕见的是无症状的DCC。这里,我们提出了一个无症状的DCC的独特案例,涉及一名年轻男性的心脏,他在致命的蛇咬伤后接受了医疗护理,最终导致他的死亡。尽管囊虫病的广泛传播影响多个器官,该人仍然无症状。我们介绍了一例23岁的男性,他被带到急诊科,有所谓的蛇咬伤史。患者在抵达全印度医学科学研究所(AIIMS)时被宣布死亡。Rishikesh,印度。尸检结果显示多个明显的心脏异常,包括主动脉根部和主动脉瓣钙化的动脉粥样硬化改变,以及源自左冠状动脉主干的许多侧支血管。此外,在心肌内发现了含有囊尾蚴幼虫的囊性结节,提示心脏囊虫病.死亡原因被确定为与蛇咬伤有关的并发症。该病例强调了在复杂的临床表现中考虑多种潜在病因的重要性,尤其是在热带地区.
Cysticercosis presents a prevalent issue on a global scale. Nevertheless, disseminated cysticercosis (DCC) is infrequent; even rarer is asymptomatic DCC. Here, we present a unique case of asymptomatic DCC involving the heart in a young male who came to medical attention following a fatal snake bite, ultimately leading to his demise. Despite the widespread dissemination of cysticercosis affecting multiple organs, the individual remained asymptomatic for the condition. We present a case of a 23-year-old male who was brought to the emergency department with a history of alleged snake bites. The patient was declared dead upon arrival at the All India Institute of Medical Sciences (AIIMS), Rishikesh, India. Autopsy findings revealed multiple significant cardiac abnormalities, including atheromatous changes with calcification in the root of the aorta and aortic valve, along with numerous collateral vessels originating from the left main coronary artery. Additionally, cystic nodules containing cysticercus larvae were identified within the myocardium, suggesting cardiac cysticercosis. The cause of death was determined to be complications related to the snakebite. This case emphasizes the importance of considering multiple potential etiologies in complex clinical presentations, especially in the tropics.