Sudden Death Due to an Unrecognized Cardiac Hydatid Cyst

Malamou‐Mitsi, Vassiliki; Pappa, Lina; Vougiouklakis, Theodore; Peschos, Dimitrios; Kazakos, Nikolaos; Grekas, Georgios; Sideris, Dimitrios; Agnantis, Niki J.

doi:10.1520/jfs15520j

Cited by 26 publications

(40 citation statements)

References 13 publications

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“…(2,13,14,(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27) Grade I (+): Irregular widening of the myofibrils or small amounts of fibrosis, adipose tissue infiltration less than 25%, random mono nuclear cellular accumulation.…”

Section: Sonuçmentioning

confidence: 99%

Evaluation Of Cardiac Conduction System In Sudden Deaths

Zhao

Zhang²,

Li³

2013

Adli Tip Derg

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Objective:In this study, revealing the regional characteristics of the cardiac conduction system pathologies in sudden death cases is aimed. Besides, this is the first study of Adana region forensic cases related to the cardiac conduction system pathologies. Methods:Twenty seven cases of sudden unexpected death and 4 cases with known causes of death as a control group have been included in the study. Samples from sinoatrial node and atrioventicular node were taken in total 31 cases. Samples were evaluated with light microscope after staining through histochemical staining methods. Results:There were significant pathological changes of the sinoatrial node and atrioventricular node in 10 of the cases. And in 3 of all cases (11.1%), the abnormalities of the conduction system were considered to have the possibility for causing death. Conclusion:We have concluded that it is of importance to evaluate the cardiac conduction system in sudden unexpected death cases and this topic should be kept in sight in forensic pathology.Key words: forensic pathology, cardiac conduction system, sudden death, autopsy ÖZET Amaç:Bu çalışmada, ani kardiyak ölüm vakalarında kardiyak ileti sistemi patolojilerinin bölgesel özelliklerinin ortaya konması amaçlandı. Ayrıca bu çalışma, kardiyak ileti sistemi patolojileri konusunda Adana bölgesindeki adli olgularda yapılan ilk çalış-madır. Yöntemler:Yirmi yedi ani-beklenmedik ölüm olgusu ile ölüm nedeni bilinen 4 olgu kontrol grubu olarak çalışmaya alındı. Toplam 31 olguda, sinoatrial nod ve atrioventriküler nod bölgelerinden örnekler alındı. Örnekler histokimyasal boyama yöntemleri ile boyanarak ışık mikroskobunda incelendi. Bulgular:Ani-beklenmedik ölüm olgularının 10'unda sinoatrial nod ve atrioventriküler nodda belirgin patolojik bulgular saptandı. Tüm olguların 3'ünde (%11,1), ileti sistemi anomalilerinin ölüme neden olabileceği düşünüldü. Sonuç:Ani beklenmedik ölüm olgularında kardiyak ileti sistemi değerlendirmesinin önemli olduğu ve adli patolojide bu konunun göz önünde bulundurulması gerektiği sonucuna vardık. (2,13,14,(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27) Grade I (+): Irregular widening of the myofibrils or small amounts of fibrosis, adipose tissue infiltration less than 25%, random mono nuclear cellular accumulation.Grade II (++): Small amounts of irregular fibrous tissues and irregular myofibrils, 25-50% of adipose tissue infiltration, 25-50% luminal obliteration of the arteries, accumulations of mono nuclear cellular infiltration. 2,13,28). We think that it may be a result of the differences between the regional dietary habits as well as the higher average age in our study (2,(12)(13)(14)28 (12,13,18,29 (4,13,(30)(31)(32)(33)(34) (14,21,(42)(43)(44) (2,13,16,26,27,46 271. Gordon I, Shapiro HA. Forensic Medicine, 2nd Ed., Edinburg, London, Melbourne, New York: Longman Group Limited, 1982. 2. Cohle SD, Saurez-Mier MP, Aguilera B. Sudden death resulting from lesions of the cardiac conduction system. Am J Foren Med Path 2002;23:83-9. 3. Denfield SW...

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Section: Sonuçmentioning

confidence: 99%

Evaluation Of Cardiac Conduction System In Sudden Deaths

Zhao

Zhang²,

Li³

2013

Adli Tip Derg

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“…Biomolecular investigations have found G1 strain in sheep and cattle [7] . In our patient, hydatidosis was manifested by a persistent cough and cardiac involvement was suggested by chest roentgenograms: generally, cardiac echinococcosis is asymptomatic and symptoms appear as a result of myocardial pressure (myocardial ischemia, rhythm and conduction abnormalities, cardiac arrest) due to cyst enlargement or rupture (anaphylactic shock or systemic embolization) [15][16][17] . Transthoracic echocardiography, TC and MR can be successfully employed in cardiac hydatidosis diagnosis; other more invasive techniques are available, but the risk related to cyst rupture could be high, possibly resulting in anaphylactic shock or systemic contamination.…”

Section: Discussionmentioning

confidence: 99%

Multiple Pulmonary and Multivesicular Interatrial Septum Hydatid Cysts in A Native Italian Patient

Romano¹,

Giordano²,

Follis³

et al. 2008

American J. of Infectious Diseases

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Multivesicular, pulmonary and cardiac hydatidosis are rarely observed and can give rise to serious complications. Cysts can remain asymptomatic for a long time, until they reveal themselves perforating into cardiac chambers and/or pulmonary arteries or the systemic circulation. A rare case of multivesicular interatrial septum hydatid cyst with multiple pulmonary involvement in a native Italian farm labourer is reported. Clinical, radiological, serological and histological findings are described. MR imaging showed the exact anatomic location and the multivesicular nature of the cardiac cyst and was useful in planning surgical treatment. A successful outcome was achieved with a combination of pre-and post-operative albendazole therapy and a three-step surgery procedure. The patient made a rapid recovery and his post-operative period was totally uneventful. This case highlights the importance of an early multidisciplinary surgical approach and long-term chemotherapy treatment of this serious and rare disease. MR Imaging was crucial in the pre-surgical and follow-up observations.

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“…Following the embolectomy and reconstruction of the circulation, the ruptured cardiac cyst should be diagnosed immediately and excised as soon as possible. Sudden death due to an unrecognized CCE has been reported from a 15-year-old female (Malamou-Mitsi et al 2002). The post-mortem examination revealed an isolated cyst in the left ventricle of the heart with an intact wall.…”

Section: Heart and Blood Vesselsmentioning

confidence: 96%

Epidemiology, clinical manifestations and diagnosis of zoonotic cestode infections: an update

Raether¹,

Hänel²

2003

Parasitology Research

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This paper reviews the literature on zoonotic cestode infections with specific reference to the years 1999-2003. The sources and prevalence of various zoonotic tapeworm infections caused by adult and larval stages of the genera Taenia, Echinococcus, Diphyllobothrium, Hymenolepis and Dipylidium continue to be an important cause of morbidity and mortality, not only in most underdeveloped countries but also in industrialized countries, particularly in rural areas or among immigrant groups from endemic areas. The review gives a detailed report on recent molecular epidemiological studies on the taxonomy and phylogenetic variations in Echinococcus granulosus, immunological tests and imaging techniques used in epidemiological surveys and clinical investigations of important adult and larval tapeworm infections of animals and humans. Larval stages or metacestodes of Taenia solium, Echinococcus spp. and pseudophyllidean tapeworms (Spirometra syn. Diphyllobothrium spp.) may reside in various tissues of their intermediate hosts, including humans. In particular, Cysticercus cellulosae (T. solium) and the larvae of E. granulosus, and E. multilocularis, which are predominantly located in the liver, lungs and central nervous system forming various types of cysts, lead to a complex of systemic diseases such as cysticercosis, cystic echinococcosis and alveolar echinococcosis, respectively. Relatively rare clinical manifestations are seen in the muscles, subcutaneous tissue, spleen, kidneys, bones and body cavities.

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Sudden Death Due to an Unrecognized Cardiac Hydatid Cyst

Cited by 26 publications

References 13 publications

Evaluation Of Cardiac Conduction System In Sudden Deaths

Evaluation Of Cardiac Conduction System In Sudden Deaths

Multiple Pulmonary and Multivesicular Interatrial Septum Hydatid Cysts in A Native Italian Patient

Epidemiology, clinical manifestations and diagnosis of zoonotic cestode infections: an update

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