Sudden death due to a massive hydatid pulmonary embolism secondary to a cardiac cyst rupture.

Autor: Kort I; Faculty of Medicine of Tunis, University Tunis El Manar, Tunis, Tunisia.; Department of Legal Medicine, Charles Nicolle Hospital, Tunis, Tunisia., Hmandi O; Faculty of Medicine of Tunis, University Tunis El Manar, Tunis, Tunisia.; Department of Legal Medicine, Charles Nicolle Hospital, Tunis, Tunisia., Bekir O; Faculty of Medicine of Tunis, University Tunis El Manar, Tunis, Tunisia.; Department of Legal Medicine, Charles Nicolle Hospital, Tunis, Tunisia., Belhaj A; Faculty of Medicine of Tunis, University Tunis El Manar, Tunis, Tunisia.; Department of Legal Medicine, Charles Nicolle Hospital, Tunis, Tunisia., Jemail L; Faculty of Medicine of Tunis, University Tunis El Manar, Tunis, Tunisia.; Department of Legal Medicine, Charles Nicolle Hospital, Tunis, Tunisia., Allouche M; Faculty of Medicine of Tunis, University Tunis El Manar, Tunis, Tunisia.; Department of Legal Medicine, Charles Nicolle Hospital, Tunis, Tunisia., Belhadj Kacem L; Faculty of Medicine of Tunis, University Tunis El Manar, Tunis, Tunisia.; Department of Pathological Anatomy and Cytology Charles Nicolle Hospital, Tunis, Tunisia., Rammeh S; Faculty of Medicine of Tunis, University Tunis El Manar, Tunis, Tunisia.; Department of Pathological Anatomy and Cytology Charles Nicolle Hospital, Tunis, Tunisia., Ben Khelil M; Department of Legal Medicine, Trauma and Burn Center, Ben Arous, Tunisia.
Jazyk: angličtina
Zdroj: Journal of forensic sciences [J Forensic Sci] 2022 Sep; Vol. 67 (5), pp. 2101-2105. Date of Electronic Publication: 2022 Jun 10.
DOI: 10.1111/1556-4029.15075
Abstrakt: Cardiac echinococcosis is rare, and its clinical evolution is slow and asymptomatic until complications occur such as sudden death. Although more frequent in endemic countries, hydatid disease should be known by forensic specialists with regard to the migration flows of people from zones with high endemicity and who are likely to die from infection. We report an autopsy case of a 33-year-old male without any medical history who presented to the emergency room with shortness of breath, chest tightness, tingling all over the body and faintness without fever. He died suddenly before the medical examination. Autopsy showed no traumatic injuries or signs of violence. A cardiac 7 cm multivesicular hydatid cyst situated on the interventricular septum and the interatrial septum was observed. The cyst was ruptured with a massive hydatid pulmonary embolism. Hydatid cysts were also observed in the lungs. No signs of anaphylactic shock were found. The diagnosis of hydatid cyst was confirmed by histopathological examinations. Our case report highlights the mechanisms of occurrence of cardiac echinococcosis and hydatid pulmonary embolism as a complication, as well as the autopsy findings and the precautions needed by the forensic doctor.
(© 2022 American Academy of Forensic Sciences.)
Databáze: MEDLINE
Externí odkaz: