Mehmet Ali EKİCİ, Arzu EKİCİ, Hüseyin PER, Bülent TUNCER, Sefer KUMANDAŞ, ALİ KURTSOY

Concomitant heart and brain hydatid cyst without other organ involvement: A case report

Echinococcosis granulosus’un şerit formu insan vücudunda parazitik enfeksiyona sebep olabilir. Erişkin form için son konak sıklıkla köpekler olup, şerit form köpeklerin sindirim sisteminde yaşar. Kist hidatiğin insana bulaşması köpeklerle direkt temasla ya da parazitin larvalarıyla kirlenmiş su ve yiyecekler yüzündendir. Enfekte hayvanlarla temas veya kontamine yiyeceklerin vücuda alınmasıyla insanlar nadiren ara konak olabilir. Bu makalede serebral ve kardiak kistleri olan pediatrik bir olgu sunulmuştur. Olgu bir yıl önce primer kist hidatik tanısıyla opere edilmiştir. Kistler Downling tekniği ile rüptüre edilmeden doğurtulmasına rağmen aynı bölgede tekrarlamıştır. Bilgisayarlı tomografi, ekokardiyografi ve abdominal ultrasonografi incelemeleri sonrasında ilk odağın kalp sol atriumunda olduğu tespit edilmiştir. Bu rapor, eş zamanlı beyin ve kalp tutulumuna vurgu yapmak için yazılmıştır.

Diğer organların tutulumu olmaksızın eş zamanlı kalp ve beynin kist hidatik tutulumu: Olgu bildirimi

The tapeworm Echinococcosis granulosus can cause parasitic disease in the human body. The definitive host for the adult form is usually dog, in the intestine of which tapeworm lives in large numbers. Hydatid cyst is caused by water and food polluted with parasites’ larva, or direct contact with dogs. Humans can rarely become intermediate hosts when they are infected by ingesting contaminated food, or by contact with infected animals. We report a pediatric case with cerebral and cardiac involvement. The patient had been operated with the diagnosis of primary multiple cyst hydatid disease one year before. Cysts were delivered by the Downling technique at the operation without rupture, but they relapsed in the same area. The first origin was investigated by thorax-abdominal computed tomography, echocardiography, abdominal ultrasonography. The focus of the cyst was found in the left atrium. This report has been written to stress concomitant brain and cardiac involvement of hydatid cyst disease.

Tam Metin

Kaynakça

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