Anaphylaxis and Recurrent Hydatid Disease

Abstract

A 62-year-old woman presented to the emergency department with anaphylaxis. Three years before this, she had been diagnosed with multivesicular hepatic hydatid cystic disease and an associated pericardial effusion.1 The cyst was resected, her pericardial effusion was drained, and she completed a course of albendazole therapy. In the interim period, she remained asymptomatic, and annual echocardiographic studies were unremarkable. On this occasion she presented with a 4-week history of recurrent episodes of transient chest pain, generalized pruritus, flushing, and urticaria. Initial management comprised intravenous …