ABSTRACT
Leishmaniasis is a vector-borne disease. About 30 species of sandflies are proven vectors of leishmania, the usual reservoir host includes human and domestic/wild animals. In addition, acquisition of visceral leishmaniasis as a result of blood transfusion has been documented. Visceral leishmaniasis presents in various forms. We report a three year old girl with visceral leishmaniasis and pericardial effusion. Meglumine antimoniate was prescribed for her and all her signs and symptoms plus her pericardial effusion were resolved
Subject(s)
Humans , Female , Heart/parasitology , Pericardial Effusion/parasitology , Infant , Splenomegaly , Echocardiography , Meglumine , Organomercury CompoundsABSTRACT
A ten-year-old male child presented with a large hepatic hydatid cyst which ruptured into the sub-diaphragmatic space and pericardial cavity, giving rise to a pericardial effusion. This communication between the hydatid cyst and the pericardium was documented on computerised tomographic scan of the chest and abdomen. The cyst was aspirated carefully and then enucleated. There was an associated right-sided reactionary pleural effusion. The pericardial effusion and pleural effusion resolved on albendazole therapy and did not require surgical intervention.
Subject(s)
Albendazole/therapeutic use , Anticestodal Agents/therapeutic use , Cetrimonium Compounds/therapeutic use , Child , Diagnosis, Differential , Echinococcosis, Hepatic/diagnosis , Humans , Male , Pericardial Effusion/parasitology , Pericarditis/drug therapy , Pleural Effusion/parasitology , Rupture, Spontaneous , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
El objetivo del presente informe es comunicar cuatro casos de amibiasis invasora del hígado que ingresaron al Servicio de Infectología del Hospital General de México durante los años de 1985 a 1987 y que se complicaron con drenaje espontáneo al espacio pericárdico, lo cual fue corroborado con estudios clínicos, serológicos y de imagen que nos dieron la pauta para establecer el tratamiento adecuado tanto médico como quirúrgico. Los datos clínicos de los pacientes fueron, además de los relacionados a la patología hepática, dolor en epigastrio, aparición súbita de disnea, datos de falla cardiaca aguda con disminución de la intensidad de los ruidos cardiacos, así como frote pericárdico. Se presentan los resultados de laboratorio y gabinete y se realiza una comparación con lo consignado en la literatura