A Rare Case of Cardiac Hydatid Disease without Liver and Lungs Involvement

Mohammad Reza  Khalilian; Ali Reza  Norouzi; Hassan  Zamani; Seyed Khalil  Forouzan Nia; Somayyeh Noei  Teymoordash

doi:10.18502/ijph.v50i11.7590

Mohammad Reza Khalilian Department of Pediatric Cardiology, Mofid Children Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Ali Reza Norouzi Pediatric Respiratory Diseases Research Center (PRDRC), National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
Hassan Zamani Department of Pediatric Cardiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Seyed Khalil Forouzan Nia Department of Cardiovascular Surgery, Erfan Niayesh Hospital, Tehran, Iran
Somayyeh Noei Teymoordash Department of Obstetrics & Gynecology, Iran University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/ijph.v50i11.7590

Keywords: Cardiac hydatid cyst; Interventricular septum; Pediatrics

Abstract

Hydatid disease is a parasitic infection caused by Echinococcus granulosus. Cardiac involvement is rare especially without liver and lungs tissue involvement. We describe a 12-year-old male patient referred to Mofid Children's Hospital, Tehran, Iran in Jul 2020 due to chronic pericardial effusion and suspected tuberculosis infection from Afghanistan. Echocardiography revealed a cystic lesion in the interventricular septum. Thoracic and abdominal computed tomography showed no similar cystic lesion in the lungs and liver. The patient underwent open-heart surgery for cystectomy and medical treatment with albendazole. Histological examination confirmed hydatid cyst diagnosis. The patient was discharged in good condition and oral albendazole was continued.