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Cardiac tamponade by hydatid pericardial cyst: a rare case report
Anil Kumar Paswan1, Shashi Prakash1, Rajeev K Dubey1
1Department of Anesthesia, Institute of Medical Science, Banaras Hindu University, Varanasi, India.
Insights
This case report highlights a rare pericardial hydatid cyst in a 70-year-old female. The condition mimicked acute coronary syndrome, emphasizing the need for considering hydatid disease in endemic areas.
Area of Science:
- Cardiology
- Infectious Diseases
- Parasitology
Background:
- Hydatid cysts, caused by Echinococcus granulosus, typically affect the liver and lungs.
- Pericardial hydatid cysts are exceptionally rare, accounting for only 0.5-2% of systemic echinococcosis cases.
Observation:
- A 70-year-old female presented with dyspnea, palpitations, and chest pain.
- Her symptoms mimicked acute coronary syndrome, a presentation unusual for pericardial hydatid cysts.
Findings:
- The study details a rare case of an isolated hydatid cyst within the pericardium.
- Eosinophilia was noted in the patient, a key indicator for parasitic infections.
Implications:
- Pericardial hydatid cysts can present atypically, mimicking life-threatening cardiac conditions.
- Early consideration of cardiac echinococcosis is crucial for accurate diagnosis and treatment in endemic regions.
Introduction:
Hydatid cysts are most commonly found in the liver and lungs but they are rarely found in pericardium.
Case Presentation:
We present a rare case of isolated hydatid cyst in pericardium of heart of a 70 year old female presented in casualty with unusual features like, dyspnea, palpitation and chest pain mimicking acute coronary syndrome.
Discussion:
Hydatid cyst in Pericardium represents only 0.5-2% of cases of systemic echinoccocal infection. Isolated pericardial cyst is very rare in endemic region and may present mimicking acute coronary syndrome. Cardiac hydatid cysts should always be considered in presence of eosinophilia as present like acute coronary syndrome in endemic area.
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