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Syncope as the primary manifestation of hydatid cyst

Report of two cases with different etiologies

Synkope als Erstmanifestation einer Echinokokkose

Darstellung zweier Fälle mit unterschiedlicher Ätiologie

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Abstract

Hydatid disease is a parasitic infestation that is caused by the larvae of the tapeworm Echinococcus granulosus. Clinical manifestations are extremely variable and related to the location and the size of the cysts. Syncope as the first clinical presentation of hydatid cyst is a very rare condition. Herein, we report two cases of patients with cardiac and pleural hydatid cysts who had syncope as the initial symptom.

Zusammenfassung

Die Echinokokkose stellte einen Parasitenbefall dar, der durch Larven des Bandwurms Echinococcus granulosus verursacht wird. Die klinische Manifestation kann sehr stark variieren und ist abhängig von der Lokalisation und der Zystengröße. Eine Synkope als erstes klinisches Symptom einer Echinokokkuszyste ist äußerst selten. Im vorliegenden Beitrag werden 2 Fälle mit einer kardialen bzw. einer pleuralen Echinokokkuszyste dargestellt, in denen die Vorstellung beim Arzt wegen einer Synkope als Erstsymptom erfolgt war.

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References

  1. Tufekcioglu O, Birincioglu CL, Arda K et al (2007) Echocardiography findings in 16 cases of cardiac echinococcosis: proposal for a new classification system. J Am Soc Echocardiogr 20:895–904

    Article  PubMed  Google Scholar 

  2. Rojo-Vazquez FA, Pardo-Lledias J, Francos-Von Hunefeld M et al (2011) Cystic echinococcosis in spain: current situation and relevance for other endemic areas in Europe. PLoS Negl Trop Dis 5:e893

    Article  PubMed Central  PubMed  Google Scholar 

  3. Richter J, Orhun A, Gruner B et al (2009) Autochthonous cystic echinococcosis in patients who grew up in Germany. Euro Surveill 14(22). pii:19229

    Google Scholar 

  4. Gursoy S, Ucvet A, Tozum H et al (2009) Primary intrathoracic extrapulmonary hydatid cysts: analysis of 14 patients with a rare clinical entity. Tex Heart Inst J 36:230–233

    PubMed Central  PubMed  Google Scholar 

  5. Ozer T, Gundogdu S, Ozer Y et al (2004) Echinococcosis involving the liver, retrovesical and seminal vesicle presented with syncope. Int J Urol 11:922–924

    Article  PubMed  Google Scholar 

  6. Brecker SJ, Mandal K, Harrison T et al (2005) Hydatid disease of the heart. Ann R Coll Surg Engl 87:W1–W4

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  7. Kammoun S, Frikha I, Fourati K et al (2000) Hydatid cyst of the heart located in the interventricular septum. Can J Cardiol 16:921–924

    PubMed  CAS  Google Scholar 

  8. Fabijanic D, Bulat C, Letica D et al (2011) Echocardiographic appearance of a hydatid cyst of the papillary muscle and chordae tendineae. J Clin Ultrasound 39:431–433

    Article  PubMed  Google Scholar 

  9. Iltumur K, Karabulut A, Toprak N (2005) Recurrent multiple cardiac hydatidosis. Eur J Echocardiogr 6:294–296

    Article  PubMed  Google Scholar 

  10. Aguilar X, Fernandez-Muixi J, Magarolas R et al (1998) An unusual presentation of secondary pleural hydatidosis. Eur Respir J 11:243–245

    Article  PubMed  CAS  Google Scholar 

  11. Ozyurtkan MO, Kocyigit S, Cakmak M et al (2009) Case report: secondary pleural hydatidosis. Turkiye Parazitol Derg 33:177–178

    PubMed  Google Scholar 

  12. Ben-Ismail M, Fourati M, Bousnina A, Kafsi N (1978) Complete syncopal auriculoventricular block by a hydatid cyst of the intraventricular septum. Ann Med Interne 129:539–542

    CAS  Google Scholar 

  13. Niarchos C, Kounis GN, Frangides CR et al (2007) Large hydatic cyst of the left ventricle associated with syncopal attacks. Int J Cardiol 118:e24–e26

    Article  PubMed  Google Scholar 

  14. Journet M, Gay J, Benoit P et al (1982) Syncope with a rare etiology, cardiac hydatidosis. Ann Med Interne 33:478–482

    Google Scholar 

  15. Rekik S, Krichene S, Sahnoun M et al (2009) Unusual cause of syncope in a 17 year-old young woman: left ventricular hydatid cyst. Int J Cardiol 136:e21–e23

    Article  PubMed  Google Scholar 

  16. Salehi M, Soleimani A (2009) Cardiac echinococcosis with negative serologies: a report of two cases. Heart Lung Circ 18:59–61

    Article  PubMed  Google Scholar 

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On behalf of all authors, the corresponding author states that there are no conflicts of interest.

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Correspondence to O. Turak MD.

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This article includes an additional video. You will find this supplemental at dx.doi.org/10.1007/s00059-013-3827-x.

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Video Transthoracic echocardiography showing a huge cystic lesion that significantly obliterates the left ventricular cavity (avi 8MB)

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Turak, O., Özcan, F., Sökmen, E. et al. Syncope as the primary manifestation of hydatid cyst. Herz 39, 287–290 (2014). https://doi.org/10.1007/s00059-013-3827-x

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  • DOI: https://doi.org/10.1007/s00059-013-3827-x

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