Sulhattin ARSLAN, S. L. ÖZŞAHİN, T. DOĞAN, S. BERK, G. BULUT, İ. AKKURT

İnteratrial kist hidatiğin eşlik ettiği multipl komplike akciğer kist hidatiği

Kist hidatik dünyanın belli bölgelerinde görülen endemik bir hastalıktır. En çok karaciğer ve akciğere yerleşir. Her ne kadar Echinococcus granulosus'un kalp tutulumu sık olmasa da, literatürde interatrial septumun da tutulduğu bildirilmiştir. Yetmiş beş yaşında kadın hasta nefes darlığı, öksürük, balgam çıkarma ve göğüs ağrısı yakınmalarıyla kliniğimize yatırıldı. Öyküsünde daha önce kronik obstrüktif akciğer hastalığı tanısı konulduğu ve düzensiz tedavi aldığı saptandı. Hem interatrial lokalizasyon hem de akciğerin farklı bölgelerindeki multiple yerleşimli kist hidatiğin tanısı bilgisayarlı tomografi ile konuldu, interatrial yerleşimin gösterilmesi ekokardiyografi ile doğrulandı; echinococcus için yapılan multipl, indirekt hemaglütasyon (İHA) testi ile tanı desteklendi. İnteratrial kist hidatik için önerilen operasyonu kabul etmeyen hastaya albendezol ile medikal tedavi başlandı.

Multiple complicated lung hydatid cyst associated with interatrial septal hydatid cyst

Hydatid disease is an endemic disease in certain areas of the world. It is located mostly in the liver and lung. Although cardiac involvement of Echinococcus granulosus is infrequent (0.02-2%), involvement of the interatrial septum has also been reported in literature. The present case was a 75 year-old woman admitted to our clinic with complaints of dispnea, productive cough, and chest pain. Multiple hydatid cysts of different lung localizations and interatrial localization were diagnosed by computed tomography, interatrial localization was confirmed by echocardiography, and supported by indirect hemagglutination (IHA) for echinococcus. The patient did not accept operation of interatrial hydatid cyst, and medical therapy was started with albendazole.

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