Open AccessCase 274: Cardiac Echinococcus
Author(s) -
Chauncy B. Handran,
Lynne M. Hurwitz Koweek,
J. Mammarappallil
Publication year - 2020
Publication title -
radiology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 3.118
H-Index - 295
eISSN - 1527-1315
pISSN - 0033-8419
DOI - 10.1148/radiol.2019171881
Subject(s) - medicine , pulmonary embolism , chest pain , electrocardiography , medical history , physical examination , angiography , emergency department , echinococcus , radiology , weakness , past medical history , echinococcosis , surgery , cardiology , psychiatry
HistoryA 47-year-old Sudanese man without a known remarkable medical history presented to the emergency department for a syncopal episode. The patient denied chest pain, dyspnea, focal weakness, or prior similar episodes. He was originally from north Sudan and eventually moved to Saudi Arabia, where he worked as a farm manager before emigrating to the United States years ago. Physical examination findings and routine laboratory values, including complete blood count and basic metabolic panels, were normal. Electrocardiography revealed nonspecific T-wave inversions, and a series of cardiac biomarkers were negative. A contrast material-enhanced CT angiography pulmonary embolism protocol and cardiac MRI were performed for further evaluation.