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08 March 2015 : Case report  Egypt

A Huge Thrombosed Pulmonary Artery Aneurysm without Pulmonary Hypertension in a Patient with Hepatosplenic Schistosomiasis

Unusual clinical course, Challenging differential diagnosis, Diagnostic / therapeutic accidents, Unusual setting of medical care, Rare disease, Adverse events of drug therapy , Educational Purpose (only if useful for a systematic review or synthesis)

Elsayed S. Abo-SalemB, Mahmoud M. RamadanABCDEF

DOI: 10.12659/AJCR.892451

Am J Case Rep 2015; 16:140-145

Abstract

BACKGROUND: We herein report a case of huge pulmonary artery aneurysm in a 55-year-old male farmer from the Nile delta (Lower-Egypt), mostly due to infestation with Schistosoma mansoni, which is the parasite causing hepatosplenic schistosomiasis.

CASE REPORT: This male patient was admitted with a month-long history of progressive shortness of breath, 2-month history of fever, and a cough with mucoid sputum for 10 days. On examination, he had normal temperature and blood pressure, but he had tachypnea, tachycardia, and congested neck veins. Electrocardiography showed multifocal atrial tachycardia and right bundle branch block.

CONCLUSIONS: The present case is unique in that it shows the presence of a huge pulmonary artery aneurysm despite the absence of pulmonary hypertension.

Keywords: Fatal Outcome, Aneurysm - etiology, Hypertension, Pulmonary, Liver Diseases, Parasitic - diagnosis, Pulmonary Artery, Pulmonary Embolism - etiology, Schistosomiasis mansoni - diagnosis, Splenic Diseases - parasitology

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923