Cardiopulmonary Echinococcus Infection

Naama A. R. Almaazmi Division of Infectious Disease, Department of Internal Medicine, Sheikh Tahnoon Bin Mohammed Medical City, Al Ain, United Arab Emirates;

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Zainab Alshebli Department of Internal Medicine, Sheikh Tahnoon Bin Mohammed Medical City, Al Ain, United Arab Emirates;

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Nour Alneyadi Department of Internal Medicine, Sheikh Tahnoon Bin Mohammed Medical City, Al Ain, United Arab Emirates;

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Abdulla S. AlAmri Department of Internal Medicine, Sheikh Tahnoon Bin Mohammed Medical City, Al Ain, United Arab Emirates;

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Amna Z. Ahmad Department of Pathology, Purelab, Tawam Hospital, Abu Dhabi, United Arab Emirates;

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Ahmed A. K. AlHammadi Division of Infectious Disease, Department of Internal Medicine, Sheikh Tahnoon Bin Mohammed Medical City, Al Ain, United Arab Emirates;
Department of Internal Medicine, Al Rahba Hospital, Abu Dhabi, United Arab Emirates;
Emirates Infectious Disease Society, Emirates Medical Association, Dubai, United Arab Emirates

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Cystic echinococcosis (CE), a zoonotic infection caused by Echinococcus granulosus, primarily affects the liver and lungs. However, cardiac involvement is uncommon. This case report presents an unusual instance of heart involvement in a patient with CE. A 28-year-old man from India presented with a persistent cough and hemoptysis. Imaging revealed bilateral lung lesions along with cystic lesions in his right ventricle. The echinococcal serology result was positive, and a surgical biopsy from the lung demonstrated necrotizing granulomatous inflammation with laminated eosinophilic material, consistent with echinococcosis. This case highlights the possibility of cardiac involvement in CE and the challenges associated with its diagnosis and management.

Author Notes

Disclosures: Written informed consent was obtained from the patient for the publication of any potentially identifiable images or data included in this article. We declare that this research was conducted without any commercial or financial relationships that could be construed as a potential conflict of interest.

Authors’ contributions: All authors contributed to the writing, review, and final approval of the article.

Current contact information: Naama A. R. Almaazmi, Zainab Alshebli, and Nour Alneyadi, Division of Infectious Disease, Department of Internal Medicine, Sheikh Tahnoon Bin Mohammed Medical City, Al Ain, United Arab Emirates, E-mails: n.a.m89@live.com, zainabalshebli96@gmail.com, and alneyadi.nour@gmail.com. Abdulla S. AlAmri, Department of General Surgery, Rashid Hospital, Dubai, United Arab Emirates, E-mail: abdulladxb2000@gmail.com. Amna Z. Ahmad, Department of Pathology, Purelab, Tawam Hospital, Abu Dhabi, United Arab Emirates, E-mail: amna.ahmad@purelab.com. Ahmed A. K. AlHammadi, Department of Internal Medicine, Al Rahba Hospital, Abu Dhabi, United Arab Emirates, E-mail: ahhammadi@seha.ae.

Address correspondence to Ahmed A. K. AlHammadi, Department of Internal Medicine, Al Rahba Hospital, P.O. Box 34555, Abu Dhabi, United Arab Emirates. E-mail: ahhammadi@seha.ae
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