Abstract
BackgroundHydatid disease caused by Echinococcus granulosus commonly involves the liver followed by lungs. Cardiac involvement is a rare occurrence and presents a challenging scenario.Case presentationOur case describes a middle-aged gentleman who presented to the emergency room with an episode of sudden loss of consciousness resulting from ventricular tachycardia. After successful cardiac resuscitation, the patient underwent imaging that showed a lesion compatible with hydatid cyst. Surgical treatment with pharmacologic coverage was provided which resulted in good clinical outcome.ConclusionsThe case highlights rare occurrence of isolated cardiac hydatid disease presenting as cardiac arrhythmia in contrast to its common routine outpatient presentation involving the liver and lungs. Good knowledge of the unusual presentations and its epidemiology is essential to the proper management of such patients.
Highlights
Hydatid disease caused by Echinococcus granulosus commonly involves the liver followed by lungs
The case highlights rare occurrence of isolated cardiac hydatid disease presenting as cardiac arrhythmia in contrast to its common routine outpatient presentation involving the liver and lungs
Hydatid disease (HD) is parasitic infection caused by Echinococcus granulosus
Summary
Isolated cardiac involvement by the HD is a rare finding, as noted in our case. Increased awareness of this entity is essential for physicians and diagnosticians, especially in endemic areas. Routine screening echocardiography is the key followed by cross-sectional imaging which has a high diagnostic value in order to avoid the potential life threatening complication of disease. Surgery in these cases requires good surgical hands, especially when the presentation is through the emergency room
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