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Echinococcosis in both heart and lungs, the first case reported in Albania

Published online by Cambridge University Press:  23 March 2021

Numila Maliqari*
Affiliation:
Pediatric Cardiology Department, University Hospital Centre “Mother Teresa” Tirana, Tirana, Albania
Loreta Teneqexhi
Affiliation:
Pediatric Cardiology Department, University Hospital Centre “Mother Teresa” Tirana, Tirana, Albania
Albert Koja
Affiliation:
Pediatric Cardiology Department, University Hospital Centre “Mother Teresa” Tirana, Tirana, Albania
Altin Veshti
Affiliation:
Cardio Surgery Department, University Hospital Centre “Mother Teresa” Tirana, Tirana, Albania
Arben Baboci
Affiliation:
Cardio Surgery Department, University Hospital Centre “Mother Teresa” Tirana, Tirana, Albania
Albana Haxhiu
Affiliation:
Pediatric Cardiology Department, University Hospital Centre “Mother Teresa” Tirana, Tirana, Albania
Saimir Kuci
Affiliation:
Cardio Surgery Department, University Hospital Centre “Mother Teresa” Tirana, Tirana, Albania
Alfred Ibrahimi
Affiliation:
Cardio Surgery Department, University Hospital Centre “Mother Teresa” Tirana, Tirana, Albania
Durim Cela
Affiliation:
Diagnostic Imaging Department, University Hospital Centre “Mother Teresa” Tirana, Tirana, Albania
Vittorio Vanini
Affiliation:
Heart of Children Foundation, Bergamo, Italy
*
Author for correspondence: Numila Maliqari, 372, Rruga e Dibres, Qendra Spitalore Universitare “Nene Tereza”, 1001 Tirana, Albania. Tel: +355 682055796. E-mail: numilamaliqari@yahoo.fr

Abstract

An 11-year-old male was admitted with cough and fever for the last 4 days and also complained of pain in the right lung for some weeks. The boy did not show any other symptoms and his past medical history was unremarkable as well. The radiologist findings showed an aspect that suggested for echinococcosis.

At first, it was realised the heart intervention. About a 2-month period later, the child underwent another cyst removal in lung. He had begun taking albendazole 5 days before the heart intervention. The therapy was continued until the lung intervention and for 12 weeks post-operatively. The patient had an uneventful recovery and after about 4 years.

Type
Original Article
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Kliegman: Nelson Textbook of Pediatrics, 18th ed. Copyright © 2007 Saunders, An Imprint of Elsevier Chapter 301 – Echinococcosis (Echinococcus Granulosus and Echinococcus Multilocularis) Ronald Blanton Copyright © 2008 Elsevier Inc. All rights reserved. www.mdconsult.com Google Scholar
Larrieu, E, Del Carpio, M, Mercapide, CH, et al. Programme for ultrasound diagnoses and treatment with albendazole of cystic echinococcosis in asymptomatic carriers: 10 years of follow-up of cases. Acta Trop 2011; 117: 15.CrossRefGoogle ScholarPubMed
Brunetti, E. Echinococcosis Hydatid Cyst. 2018. [online] Emedicine.medscape.com; Retrieved from https://emedicine.medscape.com/article/216432-overview Google Scholar
Beedkar, A, Parikh, R, Deshmukh, P. Asymptomatic presentation of large cardiac hydatid. J Assoc Physicians India 2017; 65: 9899.Google ScholarPubMed
Salih, OK, Celik, SK, Topcuoğlu, MS, Kisacikoğlu, B, Tokcan, A. Surgical treatment of hydatid cysts of the heart: a report of 3 cases and a review of the literature. Can J Surg 1998; 41: 321327.Google Scholar
Bouraoui, H, Trimeche, B, Mahdhaoui, A, et al. Echinococcosis of the heart: clinical and echocardiographic features in 12 patients. Acta Cardiol 2005; 60: 3941.CrossRefGoogle ScholarPubMed
Santivanez, S, Garcia, HH. Pulmonary cystic echinococcosis. Curr Opin Pulm Med. 2010; 16: 257261.Google ScholarPubMed
Brunetti, E, Kern, P, Vuitton, DA. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta Trop 2010; 114: 116.CrossRefGoogle ScholarPubMed
Brunetti, E, Tamarozzi, F, Macpherson, C, et al. Ultrasound and cystic echinococcosis. Ultrasound Int Open 2018; 4: E70E78.Google ScholarPubMed
Stojkovic, M, Zwahlen, M, Teggi, A, et al. Treatment response of cystic echinococcosis to benzimidazoles: a systematic review. PLoS Negl Trop Dis 2009; 3: e524.10.1371/journal.pntd.0000524CrossRefGoogle ScholarPubMed
Neumayr, A, Troia, G, de Bernardis, C, et al. Justified concern or exaggerated fear: the risk of anaphylaxis in percutaneous treatment of cystic echinococcosis-a systematic literature review. PLoS Negl Trop Dis 2011; 5: e1154.CrossRefGoogle ScholarPubMed
WHO Informal Working Group. International classification of ultrasound images in cystic echinococcosis for application in clinical and field epidemiological settings. Acta Trop 2003; 85: 253261.CrossRefGoogle Scholar
Atilgan, D, Kudat, H, Tükek, T, et al. Role of transesophageal echocardiography in diagnosis and management of cardiac hydatid cyst: report of three cases and review of the literature. J Am Soc Echocardiogr. 2002; 15: 271274. doi: 10.1067/mje.2002.120507. PMID: 11875393.CrossRefGoogle ScholarPubMed
Dursun, M, Terzibasioglu, E, Yilmaz, R, et al. Cardiac hydatid disease: CT and MRI findings. AJR Am J Roentgenol 2008; 190: 226232.CrossRefGoogle ScholarPubMed
Stojkovic, M, Rosenberger, K, Kauczor, HU, Junghanss, T, Hosch, W. Diagnosing and staging of cystic echinococcosis: how do CT and MRI perform in comparison to ultrasound. PLoS Negl Trop Dis 2012; 6: e1880.CrossRefGoogle Scholar
Nagpal, V, Kohli, K, Chowdhary, A, Kumar, A, Andley, M, Ravi, B. Breast lump as a presentation of a hydatid disease. Trop Doct 2006; 36: 5758.CrossRefGoogle ScholarPubMed
Macpherson, CN, Bartholomot, B, Frider, B. Application of ultrasound in diagnosis, treatment, epidemiology, public health and control of Echinococcus granulosus and E. multilocularis. Parasitology 2003; 127 (Suppl): S21S35.CrossRefGoogle Scholar
Liu, Y, Wang, X, Wu, J. Continuous long-term albendazole therapy in intraabdominal cystic echinococcosis. Chin Med J (Engl) 2000; 113: 827832.Google ScholarPubMed