scholarly journals Isolated pericardial cystic Echinococcosis: A rare clinical presentation

2022 ◽  
Vol 38 (3) ◽  
Author(s):  
Pratikshya Thapaliya ◽  
Taimur Asif Ali ◽  
Mahwish Mahboob Bhutta
Keyword(s):  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Cystic Echinococcosis ◽  
Clinical Presentation ◽  
Epigastric Pain ◽  
Rare Condition ◽  
Health Concern ◽  
Atypical Chest Pain ◽  
Creative Commons ◽  
Open Access Article

Isolated pericardial Hydatid cyst without involvement of other viscera is a rare condition with reported incidence of 0.5-2% of all cases of cystic echinococcosis even in the countries endemic for the disease. Hydatid disease is a major public health concern in the animal raising regions worldwide. Pericardial hydatid disease can be asymptomatic or present with varying symptoms from atypical chest pain, arrhythmias, rupture and tamponade to anaphylaxis. Early diagnosis and surgical treatment is necessary to prevent fatal complications. Here we report a case of symptomatic isolated pericardial hydatid cyst who presented with epigastric pain. doi: https://doi.org/10.12669/pjms.38.3.4965 How to cite this:Thapaliya P, Ali TA, Bhutta MM. Isolated pericardial cystic Echinococcosis: A rare clinical presentation. Pak J Med Sci. 2022;38(3):---------. doi: https://doi.org/10.12669/pjms.38.3.4965 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cystic echinococcosis of the interventricular septum: a rare clinical presentation

2020 ◽  
Vol 30 (10) ◽  
pp. 1515-1516
Author(s):  
Erkan İriz ◽  
Semih Yaylı ◽  
Serdar Kula
Keyword(s):  
Public Health ◽  
Case Report ◽  
Hydatid Cyst ◽  
Echinococcus Granulosus ◽  
Cystic Echinococcosis ◽  
Clinical Presentation ◽  
Interventricular Septum ◽  
Health Concern ◽  
Public Health Concern ◽  
The World

AbstractCystic echinococcosis caused by infection with the larvae form of Echinococcus granulosus remains highly endemic and constitutes a public health concern in some regions of the world. In this case report, we present a rare children case of interventricular hydatid cyst with a size of approximately 5 cm and its successful treatment.

Rare presentation of isolated hydatid disease of the breast

2021 ◽  
Vol 14 (7) ◽  
pp. e243052
Author(s):  
Ronal Kori ◽  
Sudhir Kumar Jain ◽  
Rehan Nabi Khan
Keyword(s):  
Hydatid Cyst ◽  
Echinococcus Granulosus ◽  
Hydatid Disease ◽  
Similar Case ◽  
Rare Condition ◽  
Rare Presentation ◽  
Diagnostic Dilemma ◽  
Endemic Areas ◽  
Accidental Host ◽  
Cattle And Sheep

Isolated hydatid disease of the breast is a rare condition, possessing a diagnostic dilemma for the clinicians. Hydatid disease is common in endemic areas affecting most commonly the liver and lungs. Other organs rarely involved are the kidney, bone and brain. It is caused by the parasite Echinococcus granulosus, widely spread by cattle and sheep. Humans are the accidental host for this organism. We present a similar case of isolated hydatid cyst of the breast, which was diagnosed preoperatively and managed successfully.

scholarly journals Spontaneous Intraperitoneal Rupture of a Hepatic Hydatid Cyst with Subsequent Anaphylaxis: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Benjamin Tinsley ◽  
Aula Abbara ◽  
Raghunandan Kadaba ◽  
Hemant Sheth ◽  
Gurjinder Sandhu
Keyword(s):  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Epigastric Pain ◽  
Left Lobe ◽  
Good Effect ◽  
Cystic Hydatid Disease ◽  
Intraperitoneal Rupture ◽  
Anaphylactoid Reactions ◽  
Hydatid Cyst Rupture ◽  
Cyst Rupture

Hydatid cyst rupture into the abdomen is a serious complication of cystic hydatid disease of the liver (Cystic Echinococcosis) with an incidence of up to 16% in some series and can result in anaphylaxis or anaphylactoid reactions in up to 12.5% of cases. At presentation, 36–40% of hydatid cysts have ruptured or become secondarily infected. Rupture can be microscopic or macroscopic and can be fatal without surgery. Hydatid disease of the liver is primarily caused by the tapewormEchinococcus granulosusand occurs worldwide, with incidence of up to 200 per 100,000 in endemic areas. Our case describes a 24-year-old Bulgarian woman presenting with epigastric pain and evidence of anaphylaxis. Abdominal CT demonstrated a ruptured hydatid cyst in the left lobe of the liver. A partial left lobe hepatectomy, cholecystectomy, and peritoneal washout was performed with good effect. She was treated for anaphylaxis and received antihelminthic treatment with Albendazole and Praziquantel. She made a good recovery following surgery and medical treatment and was well on follow-up. Intraperitoneal rupture with anaphylaxis is a rare occurrence, and there do not seem to be any reported cases from UK centres prior to this.

scholarly journals An Exercise Prescription for COVID-19 Pandemic

2020 ◽  
Vol 36 (7) ◽  
Author(s):  
Zait Burak AKTUĞ ◽  
Nazlım AKTUĞ DEMİR
Keyword(s):  
Exercise Prescription ◽  
Healthy Lifestyle ◽  
Physical Activities ◽  
Health Concern ◽  
Public Health Concern ◽  
Human Race ◽  
Creative Commons ◽  
Quality Sleep ◽  
Prevention Studies ◽  
Open Access Article

COVID-19 is an alarming public health concern worldwide. COVID-19 is highly contagious and has no approved treatment or vaccine yet. Therefore, the best strategy is prevention. Studies have shown that a healthy lifestyle, regular exercise, balanced eating, and quality sleep are the key elements for protection from this disease. We are going through a distressful period as a nation and as the human race in general. We need to manage this period in the best way possible in physiological and psychological terms. Physical activity is one of the major steps in managing this period in a healthy way. Individuals should be provided information about exercise so that they can perform correct physical activities within their means. This article presents an exercise prescription that can be followed in the days of the COVID-19 pandemic. doi: https://doi.org/10.12669/pjms.36.7.2929 How to cite this:Aktug ZB, Demir NA. An Exercise Prescription for COVID-19 Pandemic. Pak J Med Sci. 2020;36(7):---------. doi: https://doi.org/10.12669/pjms.36.7.2929 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Accuracy of BISAP score in prediction of severe acute pancreatitis

2019 ◽  
Vol 35 (4) ◽  
Author(s):  
Anum Arif ◽  
Farhat Jaleel ◽  
Khalid Rashid
Keyword(s):  
Acute Pancreatitis ◽  
Severe Acute Pancreatitis ◽  
Epigastric Pain ◽  
Scoring Systems ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cross Sectional ◽  
Creative Commons ◽  
Surgery Department ◽  
Open Access Article

Objective: To determine the accuracy of BISAP score in comparison with Ranson’s score in detection of severe acute pancreatitis. Methods: This cross sectional study was performed in Emergency department and Surgery department of Dow university hospital from January 2015 to December 2015. A total of 206 patients were included. Those diagnosed with acute pancreatitis on the basis of epigastric pain, serum amylase levels more than 300 (more than 3 times normal) and meeting the inclusion criteria were subjected to investigations for Ranson’s and BISAP scoring. BISAP score was calculated at 24 hours and Ranson’s score both at 24 and 48 hours. A score of > 3 was used to label severe acute pancreatitis according to both scoring systems. Results: In our study accuracy to predict SAP by BISAP score was 76.2 % and Ranson’s score was 82.2%. On the basis of sensitivity, Ranson’s scores predicted SAP more accurately than BISAP scores (97.4% vs. 69.2%). Regarding specificity, both scores predicted SAP almost equally (78.4% vs. 77.8%). Conclusion: BISAP score is a valuable tool in predicting severe Acute Pancreatitis in early hours. doi: https://doi.org/10.12669/pjms.35.4.1286 How to cite this:Arif A, Jaleel F, Rashid K. Accuracy of BISAP score in prediction of severe acute pancreatitis. Pak J Med Sci. 2019;35(4):---------.  doi: https://doi.org/10.12669/pjms.35.4.1286 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals A rare presentation of Kikuchi Disease with Hemolytic Uremic Syndrome

2019 ◽  
Vol 35 (2) ◽  
Author(s):  
Salwa Tauseeq Khan ◽  
Rubina Naqvi ◽  
Rahma Rashid ◽  
Sana Abbas Naqvi
Keyword(s):  
Hemolytic Uremic Syndrome ◽  
Case Reports ◽  
Kidney Injury ◽  
Rare Condition ◽  
Pathological Findings ◽  
Rare Presentation ◽  
Benign Condition ◽  
Creative Commons ◽  
Uremic Syndrome ◽  
Open Access Article

Kikuchi disease (KD) or also known as Kikuchi Fujimoto disease is named after scientists Kikuchi and Fujimoto who describe the disease in Japan in 1972. KD originally reported from Asia but later case reports from different regions of world have been published. It is a benign condition of necrotizing histiocytic lymphadenitis which mimic like Lymphoma, diagnosis of KD is based on histo-pathological findings from lymphnodes. It is a rare condition and mostly case reports have been published, it can have an association with other pathologies. We aim to report a case where KD has been found in a young woman in association with hemolytic uremic syndrome and acute kidney injury. How to cite this:Khan ST, Naqvi R, Rashid R, Naqvi SA. A rare presentation of Kikuchi Disease with Hemolytic Uremic Syndrome. Pak J Med Sci. 2019;35(2):586-588. doi: https://doi.org/10.12669/pjms.35.2.735 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Uncommon Locations of Cystic Echinococcosis: A Report of 46 Cases from Southern Iran

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Reza Shahriarirad ◽  
Amirhossein Erfani ◽  
Mehrdad Eskandarisani ◽  
Mohammad Rastegarian ◽  
Bahador Sarkari
Keyword(s):  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Cystic Echinococcosis ◽  
The Body ◽  
Pelvic Cavity ◽  
Fars Province ◽  
Hydatid Cysts ◽  
Unusual Location ◽  
Southern Iran ◽  
Demographical Data

Background. Most cases of hydatid cysts form in the liver and lung and other tissues are considered as unusual locations in hydatid cysts. The current study aimed to find out the rate and features of hydatid cysts in uncommon locations in Fars Province, Southern Iran, over a 15-year period. Methods. The hospital records of patients who underwent surgery for hydatid cysts in university-affiliated hospitals in Fars Province, Southern Iran, from 2004 to 2018, were retrospectively reviewed. For each patient, clinical and demographical data were recorded. Results. During a 15-year period, a total of 501 patients were surgically treated for hydatid cysts, and out of these, 46 (9.2%) were presented with the unusual locations of hydatid disease. Males constituted 28 (60.9%) of these patients while 18 (39.1%) of the patients were females. The patients’ age ranged from 5 to 80 years (mean = 40.49; SD = 20.37). The size of the cysts ranged from 2 to 20 cm (mean = 8.69, SD = 4.59). The most common unusual location for the hydatid cyst was the spleen with 30.4% of cases, followed by the pelvic cavity (15.2%). Out of 46 cases with unusual location of the hydatid cyst, 10 (21.7%) cases had lung, 22 (47.8%) cases had liver, and 5 (10.9%) cases had both liver and lung hydatid cysts, simultaneously with cysts in unusual locations. Conclusion. In cystic echinococcosis- (CE) endemic areas, hydatid disease can affect any organ, from head to toe, in humans. The disease should be considered in the differential diagnosis of any cystic entities anywhere in the body.

scholarly journals In vitro lethal effect of Zingiber officinale R. on protoscolices of hydatid cyst from sheep liver

2011 ◽  
Vol 2 (1) ◽  
pp. 25 ◽  
Author(s):  
Mohammad Moazeni ◽  
Ali Nazer
Keyword(s):  
Hydatid Cyst ◽  
Echinococcus Granulosus ◽  
Hydatid Disease ◽  
Cystic Echinococcosis ◽  
Methanolic Extract ◽  
Zingiber Officinale ◽  
Lethal Effect ◽  
Ginger Extract ◽  
Scolicidal Agent

Cystic echinococcosis (Hydatid disease) is a zoonotic disease caused by <em>Echinococcus granulosus</em>. The aim of this study, was to evaluate the scolicidal activity of methanolic extract of <em>Zingiber officinale</em> (Rosc.) family Zingibe - raceae, against protoscolices of hydatid cyst. Protoscolices were collected aseptically from sheep livers containing hydatid cyst and were exposed to different concentrations of ginger extract for various exposure times. Scolicidal activity of <em>Z. officinale</em> extract at concentration of 25 mg/mL was 25.6%, 39.1%, 56.7%, 83.7%, 98.1% and 100% after 10, 20, 30, 40, 50, and 60 min of exposure respectively. Scolicidal effect of this extract at concentration of 50 mg/mL was 52%, 85.8 %, 99.6% and 100% after 10, 20, 30 and 40 min of exposure respectively. <em>Z. officinale</em> extract at concentration of 100 mg/mL killed 76.5 %, 87% and 100 % of protoscolices after 10, 20 and 30 min respectivly. The results of this study showed that the methanolic extract of <em>Z. officinale</em> has high scolicidal activity and might be used as a natural scolicidal agent.

scholarly journals HYDATID CYST WITH FOCUS ON MANIFESTATIONS, DIAGNOSIS, AND MANAGEMENT: REVIEW

2019 ◽  
pp. 6-9
Author(s):  
KANAAN AL-TAMEEMI ◽  
RAIAAN KABAKLI
Keyword(s):  
Public Health ◽  
Hydatid Cyst ◽  
Echinococcus Granulosus ◽  
Cystic Echinococcosis ◽  
Animal Husbandry ◽  
Health Concern ◽  
Intermediate Hosts ◽  
Public Health Concern ◽  
Developing Regions ◽  
Diagnosis And Management

Hydatids or cystic echinococcosis results from being infected with Echinococcus granulosus that found in dogs as definitive hosts and humans, sheep, goats, and pigs as intermediate hosts, mainly prevailing in regions with animal husbandry. Echinococcosis is a public health concern, especially in developing regions; this is due to the medical and economic harm to humans and the inefficiency of treatment and the difficulties of diagnosis in the early stages of infection. Our review summarizes the historical backgrounds of Echinococcus, together with the biological and epidemiological aspects of parasite, in addition to diagnosis and treatment ways.

scholarly journals Primary Echinococcus Hydatid Cyst of the Uterus: An Unusual Location

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Farouk Ennaceur ◽  
Dhekra Toumi ◽  
Farouk Jaouad ◽  
Aymen Mabrouk ◽  
Ahmed Hajji ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Clinical Examination ◽  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Serous Cystadenoma ◽  
The Body ◽  
Left Ovary ◽  
Health Concern ◽  
Hydatid Cysts

Hydatidosis is a widespread anthropozoonosis. It can affect almost any part of the body, but it occurs most commonly in the liver (75%) and the lungs (15%). Its occurrence in female genital tract, especially the uterus, is very rare. Diagnosing hydatid disease at these unusual locations can be difficult. Hereby, we report two cases of primary hydatid cyst of the uterus. The first case is that of a 62-year-old woman, G7P5A2, who presented with an eight-month history of chronic pelvic pain. Clinical examination and radiological explorations revealed the presence of a uterine fibroid and a serous cystadenoma of the left ovary. She underwent a hysterectomy and a bilateral adnexectomy. Anatomopathological examination concluded that a serous cystadenoma of the left ovary was a calcified subserous hydatid cyst of the uterine fundus. The second case is that of a 69-year-old woman, G6P4A2, who consulted for chronic pelvic pain that had been evolving for 3 months. The clinical examination and radiological explorations doubted a hydatid cyst of the uterus, with a positive hydatid serology. She underwent a resection of the salient dome. The anatomopathological examination was in favor of a hydatid cyst of the uterus. Hydatid disease is endemic in Tunisia. The pelvic region is rarely affected with an incidence ranging from 0.3 to 0.9%, 80% of which involves the genitals. The uterus is more rarely affected than the ovaries. Most often, it is a contamination secondary to the intra-abdominal rupture of a hydatid cyst of the liver. However, primary uterine hydatid cysts have been reported. Surgery is the Gold Standard for the treatment of uterine hydatid cysts. Exploration of the abdominal cavity is essential in the search for other localizations, particularly hepatic. Postoperative medical treatment with Albendazole can be discussed. The ideal approach to deal with this public health concern is to emphasize the need for improved preventive measures. Modern imaging techniques have significantly improved the detection rates of hydatid cysts in atypical localizations. Indeed, the preoperative diagnosis of uterine hydatidosis requires a meticulous approach which is necessary to initiate an adequate treatment and thus guarantee a better management of the patient.

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