[Complications of cardiac hydatid cyst. 2 cases].
BACKGROUND
Cardiac localization of hydatiosis is uncommon, involving 0.5 to 2% of all cases.


METHODS
The first patient was a 15 year old adolescent whose cardiac hydatidosis was revealed by tamponade. The second case was discovered in a 28-year-old woman without cardiac signs who was explored for allergy manifestations with fever, urticaria and joint point. Both patients underwent surgery. Eighteen months after the operation, the second patient developed hemiplegia leading to the discovery of multi-organ localizations (brain, spleen, kidney) which were not evidenced at the initial work-up. The neurological deficit and brain cysts regress with albendazole treatment.


CONCLUSIONS
The risk of rupture of the cardiac hydatic cyst requires rapid surgical cure. Medical treatments are discussed. Anti-hydatic drugs can be used alone in case of a contraindication for surgery. In other patients they are given during the perioperatie period and for a prolonged period after surgery.
Struillou
L
L
Service de Médecine interne B, Hôtel-Dieu, Nantes.
Rabaud
C
C
Bischoff
N
N
Preiss
M A
MA
May
T
T
Canton
P
P
D000293:Adolescent; D000328:Adult; D015766:Albendazole / Q000627:therapeutic use; D000871:Anthelmintics / Q000627:therapeutic use; D001927:Brain Diseases / Q000188:drug therapy / Q000209:etiology / Q000469:parasitology; D002305:Cardiac Tamponade / Q000209:etiology; D009202:Cardiomyopathies / Q000150:complications / Q000469:parasitology* / Q000601:surgery; D004443:Echinococcosis / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications
D000871:Anthelmintics; D015766:Albendazole