Asunto(s)
Enfermedades de los Trabajadores Agrícolas/diagnóstico , Cardiomiopatía Restrictiva/diagnóstico , Síndrome Hipereosinofílico/diagnóstico , Estrongiloidiasis/diagnóstico , Animales , Cardiomiopatía Restrictiva/parasitología , Insuficiencia Cardíaca/parasitología , Humanos , Síndrome Hipereosinofílico/parasitología , Angiografía por Resonancia Magnética , Masculino , Persona de Mediana Edad , Strongyloides stercoralis , Trombosis/diagnóstico , Trombosis/parasitologíaRESUMEN
Não há descrição na literatura de comprometimento da função cardíaca associado à cisticercose. Os autores relatam o caso de uma mulher de 46 anos, portadora de cisticercose e insuficiência cardíaca, cujo ecocardiograma é compatível com cardiomiopatia restritiva e o aspecto miocárdico é de microcalcificações, sugerindo infiltração cardíaca pela doença.
Asunto(s)
Humanos , Femenino , Persona de Mediana Edad , Cardiomiopatía Restrictiva/parasitología , Cisticercosis/complicaciones , Cardiomiopatía Restrictiva , Cisticercosis , NeurocisticercosisRESUMEN
There is no description of cysticercosis affecting heart function. In the present report, the authors describe the case of a 46-year-old woman with cardiac cysticercosis and heart failure, presenting with echocardiographic findings suggestive of restrictive cardiomyopathy and myocardial microcalcifications suggestive of cardiac infiltration by the disease.
Asunto(s)
Cardiomiopatía Restrictiva/parasitología , Cisticercosis/complicaciones , Cardiomiopatía Restrictiva/diagnóstico por imagen , Cisticercosis/diagnóstico por imagen , Femenino , Humanos , Persona de Mediana Edad , Neurocisticercosis/diagnóstico por imagen , Radiografía , UltrasonografíaRESUMEN
CASE REPORT: The case of a 57-year-old woman is reported who was admitted for peripheral hypereosinophilia. DIAGNOSIS: Detailed investigations revealed first of all a hypereosinophilic syndrome with infiltration of bone marrow and lung. The patient suffered more and more from angina pectoris with signs of heart failure. Coronary angiography was therefore carried out which showed normal coronary arteries. With suspicion of myocardial involvement endomyocardial biopsies were performed which revealed the presence of Löfflers endocarditis parietalis fibroplastica. Finally, serological studies for parasites disclosed a positive ELISA test for Toxocara, confirmed later to be rising. CONCLUSION: Myocardial involvement of hypereosinophilia, caused by Toxocara is not described until now. Further diagnostic by means of pulsed wave tissue Doppler echocardiography provided regional differentiation of a restrictive filling pattern which documented the importance of this new diagnostic tool in myocardial illness.
