[Cardiac amyloidosis secondary to multiple myeloma detected by echocardiography]. / Amiloidosis cardíaca secundaria a mieloma múltiple detectada por ecocardiografía.

The authors present the clinical history of a 70-year-old male with arterial hypertension who sought medical advice because of dyspnea on exertion, orthopnea and episodes of paroxysmal nocturnal dyspnea. The electrocardiogram showed left arterial hemiblock and abnormalities of ventricular repolarization compatible with a left lateral endocardiac lesion. Echocardiography revealed a hypertrophied left ventricle with a small ventricular cavity, compatible with an infiltrative-restrictive myopathy. Blood chemistry showed creatinine 4.9 mg/dl, BUN 133 mg/dl and alkaline phosphatase 204 i.v. The patient expired because of intractable heart failure. The histopathological examination of a piece of myocardium (authorized by the family) stained with Congo red confirmed the presence of abundant, diffuse deposits of amyloid, as had been suspected because of the echocardiographic findings.

Amiloidosis cardíaca secundaria a mieloma múltiple detectada por ecocardiografía / Cardiac amyloidosis secondary to multiple myeloma detected by echocardiography

The authors present the clinical history of a 70-year-old male with arterial hypertension who sought medical advice because of dyspnea on exertion, orthopnea and episodes of paroxysmal nocturnal dyspnea. The electrocardiogram showed left arterial hemiblock and abnormalities of ventricular repolarization compatible with a left lateral endocardiac lesion. Echocardiography revealed a hypertrophied left ventricle with a small ventricular cavity, compatible with an infiltrative-restrictive myopathy. Blood chemistry showed creatinine 4.9 mg/dl, BUN 133 mg/dl and alkaline phosphatase 204 i.v. The patient expired because of intractable heart failure. The histopathological examination of a piece of myocardium (authorized by the family) stained with Congo red confirmed the presence of abundant, diffuse deposits of amyloid, as had been suspected because of the echocardiographic findings

[Hepatic polycystic hydatidosis. Clinical and histopathologic report of the second native case of echinococcosis in the Republic of Panama]. / Hidatidosis poliquística hepática. Informe clínico e histopatológico del segundo caso de equinococosis autoctono en la República de Panamá.

The second autochthonous case of hepatic hydatidosos by Echinococcus vogelli is reported for the Republic of Panama. The patient was a 8 year old female living in the Province of Colon (Maria Chiquita). She claimed never to have traveled outside panamanian territory. The multichambered cysts with fertile, numerous protoscolices were identified from biopsied material obtained after exploratory laparotomy at Manuel Amador Hospital in Colon (Republic of Panama). The cyst appeared multiloculated mostly affecting the left lobe of the liver, beside a cystic lesion on the right lobe. The large rostellar hooks, in a count of 100 protoscolices, had a total length of handles and blades which average 41 microns in diameter, which coincide with those of E. vogeli, the most prevalent hydatid disease in man in South and Central America.