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A Rare Case of Cardiac Hydatid Disease without Liver and Lungs Involvement

Mohammad Reza Khalilian1, Ali Reza Norouzi2, Hassan Zamani3

  • 1Department of Pediatric Cardiology, Mofid Children Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Iranian Journal of Public Health
|February 28, 2022
PubMed

Insights

This case study highlights a rare instance of cardiac hydatid disease in a child. Early diagnosis and surgical removal of the Echinococcus granulosus cyst were crucial for recovery.

Area of Science:

  • Medicine
  • Parasitology
  • Pediatrics

Background:

  • Hydatid disease, caused by *Echinococcus granulosus*, is a parasitic infection.
  • Cardiac involvement is an uncommon manifestation, particularly when liver and lung tissues are unaffected.

Observation:

  • A 12-year-old boy presented with chronic pericardial effusion, initially suspected as tuberculosis.
  • Echocardiography identified a cystic lesion in the interventricular septum.
  • CT scans excluded concurrent liver or lung hydatid disease.

Findings:

  • Surgical cystectomy and histological examination confirmed a primary cardiac hydatid cyst.
  • The patient received albendazole treatment post-surgery.

Implications:

  • This case highlights the importance of considering rare parasitic infections like hydatid disease in pediatric cardiac conditions.
  • Early diagnosis and surgical intervention are crucial for managing cardiac hydatid cysts.
  • Successful treatment involves both surgical removal and antiparasitic medication.

Keywords:
Cardiac hydatid cystInterventricular septumPediatrics

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