title: Inoperable isolated cardiac hydatid cyst controlled with albendazole in an older adult with dementia.
abstract: Hydatid cyst, a human parasitic disease, remains a clinical problem in undeveloped and developing countries. Although liver and lungs are regular sites of infection, rarely other organs such as the heart can be involved. Herein, we report an isolated cardiac hydatid cyst in an 87-year-old man. He had a history of dementia for 5 years and no history for cardiac or pulmonary disease. He presented with exertional dyspnoea which continued up to 6 months. The diagnosis was made by echocardiography and computed tomography (CT). The patient was inoperable and was treated with albendazole 10 mg/kg for 6 months. After a 6-month follow-up, echocardiography revealed reduction in the size of the cyst. We believe this is the first documented case of cardiac hydatid cyst which regressed with only medical treatment in an older adult with dementia.
authors.affiliation: Division of Geriatric Medicine, Department of Internal Medicine, Faculty of Medicine, Hacettepe University, 06100 Sihhiye, Ankara, Turkey.
authors.forename: Mehmet Emin
authors.initials: ME
authors.lastname: Kuyumcu
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Yesil
authors.forename: Sezgin
authors.initials: S
authors.lastname: Etgül
authors.forename: Burçin
authors.initials: B
authors.lastname: Halaçli
authors.forename: Hamza
authors.initials: H
authors.lastname: Sunman
authors.forename: Burcu Balam
authors.initials: BB
authors.lastname: Yavuz
authors.forename: Tuncay
authors.initials: T
authors.lastname: Hazirolan
authors.forename: Meltem
authors.initials: M
authors.lastname: Halil
authors.forename: Mustafa
authors.initials: M
authors.lastname: Cankurtaran
authors.forename: Servet
authors.initials: S
authors.lastname: Ariogul
mesh_terms: D000369:Aged, 80 and over; D015766:Albendazole / Q000627:therapeutic use*; D000923:Anticestodal Agents / Q000627:therapeutic use*; D003704:Dementia / Q000150:complications* / Q000175:diagnosis; D004443:Echinococcosis / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy* / Q000469:parasitology; D006331:Heart Diseases / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy* / Q000469:parasitology; D006801:Humans; D008297:Male; D012074:Remission Induction; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000923:Anticestodal Agents; D015766:Albendazole
keywords: albendazole; cardiac; cardiac hydatid cyst; dementia; elderly; geriatric; hydatid cyst; inoperable; older people; parasitic