Can albendazole be the only treatment for cardiac echinococcosis with multiple organ involvement?

Lahiani, D.; Abid, Leïla; Maâloul, I.; Kahla, Sahar Ben; Bradii, M.; Marrakchi, C.; Hammami, B.; Mnif, Z.; Mnif, J.; Kammoun, S.; Jemâa, Mounir Ben

doi:10.1016/j.ijcard.2012.04.082

Cited by 10 publications

(7 citation statements)

References 9 publications

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“…Albendazole efficacy is dependent on cyst size (more favorable response in smaller cysts), stage (better response for a type I cyst, according to Gharbi’s classification), and location. 5 In our case, cyst was 1 cm in size, hypoechoic, and homogenous, without any septations or daughter cysts (type I). Hydatid cyst size reduction, deformation, or disappearance are the essential criteria for efficacy of albendazole therapy.…”

Section: Discussionmentioning

confidence: 49%

Right ventricular hydatid cyst presented as tachyarrhythmia

Singh

Kumar

et al. 2018

Asian Cardiovasc Thorac Ann

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Cardiac hydatidosis is a rare presentation of echinococcus granulosus infestation. We report the case of 57-year-old man who presented with syncope due to ventricular tachycardia and was managed with antiarrhythmic drugs for an acute episode. Echocardiography and cardiac magnetic resonance imaging suggested a 1 cm right ventricular hydatid cyst. In view of the control of arrhythmia on antiarrhythmic drugs and the small size of the cyst, the patient was treated with albendazole 400 mg twice a day for 4 weeks. He was asymptomatic with normal liver function during follow-up, and repeat echocardiography after 1 year revealed disappearance of the intramyocardial lesion.

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Section: Discussionmentioning

confidence: 49%

Right ventricular hydatid cyst presented as tachyarrhythmia

Singh

Kumar

et al. 2018

Asian Cardiovasc Thorac Ann

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“…An epidemiological study collected 6.076 surgical interventions for cystic echinococcosis between 1988 and 1992 (Hsairi et al, 1995). It showed that there was liver involvement in 55% of the cases, and it was followed by lung with 40%, spleen with 1.8%, kidney with 1.4%, bone with 0.1%, heart with 0.2-2 %, and the other sites with 1.7% (Dziri et al, 2009;Koubâa et al, 2012).…”

Section: Discussionmentioning

confidence: 98%

“…The most common localization is the myocard, specifically the left ventricular wall (50-60%) and interventricular septum (%10-20) Right or left atrium may be also involved. (Engin et al, 2000;Koubâa et al, 2012). Echocardiography is the most reliable method in diagnosing and in determining the localization of the cardiac hydatid cysts.…”

Section: Discussionmentioning

confidence: 99%

Treatment strategy for hydatid cysts with multiorgan involvement/localization

Şengül¹,

Büyükkarabacak²,

Yetim³

et al. 2013

jecm

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IntroductionHydatid cyst is a parasitic disease commonly observed in developing countries, where agriculture and animal breeding are widespread, and preventive medicine is not sufficient. Its incidence in Turkey is 2 in 100,000 people (Tatar et al., 2003).Hydatid cysts are caused by Echinococcus granulosus. Although the adult form of the parasite develops in the small intestine of main hosts carnivores such as dogs, wolves, and jackals. The larvae of the parasite settle in different organs of intermediate host herbivores such as cattle, sheep or goats, and humans and cause unilocular cystic Echinococcosis. When ingested by humans, the larval form of the parasite is broken down in the stomach, and the released embryo reaches the liver through the portal system. The disease is observed mostly in the liver (60%), which has a rich capillary network. Embryos that have passed the liver arrive in the right side of the heart via hepatic veins and the vena cava, ultimately reaching the pulmonary capillaries, where they embed themselves and cause the disease in the lungs (30%). Embryos that have entered the systemic circulation and cause the disease in other organs (10%) (Yüksel ve Kalaycı, 2001;Kılıç et al., 2010). Materials and methodsEighty patients treated and followed in our clinic for hydatid cyst between 2001 and 2011 were retrospectively studied. All of the patients were examined with chest X-Ray, computed tomography and ultrasonography. While the localizations of hydatid cysts of lung and liver were determined by using computed tomography (CT) and ultrasound (USG), for cardiac hydatid cysts, echocardiography and magnetic resonance imaging MRI were used. Twenty-four patients with multiorgan hydatid cysts were studied for the symptoms, localizations of cysts, complications and results of medical and surgical treatment. ResultsOf the patients, 12 were female and 12 were male. The mean age was 35 (13-76) years. The most common symptoms were

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“…Management of disseminated HC requires a multidisciplinary approach due to high frequency of recurrent hydatid disease. Nevertheless, treatment with both surgery and albendazole is recommended for multiorgan HCs 14,15 . It is also suggested to use medical treatment either pre or postoperatively to decrease parasitic growth in order to prevent dissemination during surgical excision and recurrence 16 .…”

Section: Discussionmentioning

confidence: 99%

Hydatid cyst of papillary muscle concomitant with brain involvement

2023

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Background Cardiac hydatidosis is a rare disease and the subepicardial region of the left ventricular is commonly affected. However, papillary muscle concomitant with brain involvement has not been previously reported. Case We report a 44 years old man who complained of headache along with no cardiac symptoms. The patient was diagnosed with cerebral hydatid cyst. Through preoperative cardiac consultant, transthoracic echocardiography revealed cardiac hydatid cyst confined to the anterolateral papillary muscle. Medical treatment was started promptly and successful surgical excision of all cysts was performed. The patient had an uneventful recovery and follow up at 3 months. Conclusion Early diagnosis of cardiac HC by echocardiography is recommended in all patients with hydatid disease, regardless of HC location.

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Can albendazole be the only treatment for cardiac echinococcosis with multiple organ involvement?

Cited by 10 publications

References 9 publications

Right ventricular hydatid cyst presented as tachyarrhythmia

Right ventricular hydatid cyst presented as tachyarrhythmia

Treatment strategy for hydatid cysts with multiorgan involvement/localization

Hydatid cyst of papillary muscle concomitant with brain involvement

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