Cardiopulmonary Echinococcus Infection.

IF 1.6 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH American Journal of Tropical Medicine and Hygiene Pub Date : 2025-02-25 Print Date: 2025-05-07 DOI:10.4269/ajtmh.24-0761
Naama A R Almaazmi, Zainab Alshebli, Nour Alneyadi, Abdulla S AlAmri, Amna Z Ahmad, Ahmed A K AlHammadi
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Abstract

Cystic echinococcosis (CE), a zoonotic infection caused by Echinococcus granulosus, primarily affects the liver and lungs. However, cardiac involvement is uncommon. This case report presents an unusual instance of heart involvement in a patient with CE. A 28-year-old man from India presented with a persistent cough and hemoptysis. Imaging revealed bilateral lung lesions along with cystic lesions in his right ventricle. The echinococcal serology result was positive, and a surgical biopsy from the lung demonstrated necrotizing granulomatous inflammation with laminated eosinophilic material, consistent with echinococcosis. This case highlights the possibility of cardiac involvement in CE and the challenges associated with its diagnosis and management.

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心肺棘球蚴感染。
囊性棘球蚴病(CE)是一种由细粒棘球蚴引起的人畜共患感染,主要影响肝脏和肺部。然而,累及心脏并不常见。本病例报告提出了一个不寻常的病例心脏累及病人CE。来自印度的28岁男子表现为持续咳嗽和咯血。影像显示双侧肺病变及右心室囊性病变。棘球蚴血清学结果为阳性,肺部手术活检显示坏死性肉芽肿性炎症伴层状嗜酸性物质,与棘球蚴病一致。本病例强调了CE累及心脏的可能性及其诊断和管理的挑战。
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来源期刊
American Journal of Tropical Medicine and Hygiene
American Journal of Tropical Medicine and Hygiene 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.20
自引率
3.00%
发文量
508
审稿时长
3 months
期刊介绍: The American Journal of Tropical Medicine and Hygiene, established in 1921, is published monthly by the American Society of Tropical Medicine and Hygiene. It is among the top-ranked tropical medicine journals in the world publishing original scientific articles and the latest science covering new research with an emphasis on population, clinical and laboratory science and the application of technology in the fields of tropical medicine, parasitology, immunology, infectious diseases, epidemiology, basic and molecular biology, virology and international medicine. The Journal publishes unsolicited peer-reviewed manuscripts, review articles, short reports, images in Clinical Tropical Medicine, case studies, reports on the efficacy of new drugs and methods of treatment, prevention and control methodologies,new testing methods and equipment, book reports and Letters to the Editor. Topics range from applied epidemiology in such relevant areas as AIDS to the molecular biology of vaccine development. The Journal is of interest to epidemiologists, parasitologists, virologists, clinicians, entomologists and public health officials who are concerned with health issues of the tropics, developing nations and emerging infectious diseases. Major granting institutions including philanthropic and governmental institutions active in the public health field, and medical and scientific libraries throughout the world purchase the Journal. Two or more supplements to the Journal on topics of special interest are published annually. These supplements represent comprehensive and multidisciplinary discussions of issues of concern to tropical disease specialists and health issues of developing countries
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