An Extremely Rare Case of Cardiac Hydatid Cyst Co-infected with Brevundimonas Nasdae: Diagnostic Challenges and Management
Fatimazahrae KADDARI *
Department of Cardiology, Errazi Hospital, Mohammed VI University Hospital, Marrakesh, Morocco.
Joumana ELMASRIOUI
Department of Cardiology, Errazi Hospital, Mohammed VI University Hospital, Marrakesh, Morocco.
Dicko ARAFAOU
Department of Cardiovascular Surgery, Mohammed VI University Hospital, Marrakech, Morocco.
Abdoulaziz THIOMBIANO
Department of Cardiovascular Surgery, Mohammed VI University Hospital, Marrakech, Morocco.
Ibtissam MHIRIG
Laboratory of Microbiology, Errazi Hospital, Mohammed VI University Hospital, Marrakesh, Morocco.
Yassine BOUCHTELLA
Department of Cardiology, Errazi Hospital, Mohammed VI University Hospital, Marrakesh, Morocco.
Mouhcine EL MARDOULI
Department of Cardiovascular Surgery, Mohammed VI University Hospital, Marrakech, Morocco.
Nabila SORAA
Laboratory of Microbiology, Errazi Hospital, Mohammed VI University Hospital, Marrakesh, Morocco.
Rachid EL HOUATI
Department of Cardiovascular Surgery, Mohammed VI University Hospital, Marrakech, Morocco.
Saloua ELKARIMI
Department of Cardiology, Errazi Hospital, Mohammed VI University Hospital, Marrakesh, Morocco.
Mustapha ELHATTAOUI
Department of Cardiology, Errazi Hospital, Mohammed VI University Hospital, Marrakesh, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Cardiac hydatid cyst (HC) is a rare localisation of hydatidosis. The main preoperative diagnostic tools are serology, Transthoracic Echocardiography (TTE), Cardiac Tomography (CT) and Nuclear Magnetic Resonance Imaging (MRI). MRI is the key examination for diagnosing cardiac masses. It enables anatomical relationships to be studied and a reliable etiological orientation to be made. We report a challenging case of pericardial hydatid cyst associated to a rare infection to Brevundimonas nasdae clinically revealed by chronic dyspnea and atypical acute chest pain evolving in a febrile context. In our case, the HC presented as a cardiac mass, with an atypical appearance on echocardiography suggestive of a rhabdomyosarcoma. The MRI rectified the diagnosis, which was subsequently confirmed on operative finding, and on anatomo-pathological examination. The Patient was successfully managed after multidisciplinary treatment including combined surgical, antibiotics and antiparasitic treatments.
Keywords: Cardiac hydatid cyst, nuclear magnetic resonance imaging, brevundimonas nasdae