CASE 672: HYDATID CYST in MYOCARDIUM, Dr PHAN THANH HẢI, Dr TRẦN THỊ MINH PHƯỢNG, MEDICAL MEDICAL CENTER, VIETNAM.

A  75 year-old female patient  with asthenia and dyspnea for one year. The eosinophil  proportion of white blood cell is of 0.14 and Echinococcus (hydated) IgM Elisa negative is of 0.16 index.

Cardiac ultrasound detects a 30 mm simple cyst (Gharbi type I  hydatid cyst) in myocardium at the cardiac apex.

MSCT and MRI confirm the cardiac cyst in myocardium at the apex of the heart.

Surgery removes successfully the hydatid cyst with larva from heart. 

Microbioparasitology result is hydatid cyst with larva of Echinococcus sp.

Hydated cyst in myocardium a very rare site coming over that usually appears in liver, spleen, lung ... instead.

Sequencing result is Echinococcus ortleppi.