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Pericardial hydatid cysts, although rare, present unique diagnostic challenges and require a multidisciplinary approach for effective management. This parasitic infection, caused by Echinococcus granulosus larvae, typically affects the liver and lungs but can manifest in the pericardium, leading to potentially life-threatening complications if untreated. The 22-year-old female's escalating dyspnea posed diagnostic challenges despite inconclusive echocardiography. Employing a multidisciplinary strategy, including preoperative albendazole therapy and surgical excision, effectively managed the condition. This case highlights the intricate diagnostic nature of pericardial hydatid cysts, emphasizing the importance of heightened clinical awareness, especially in endemic regions. The detailed clinical trajectory, imaging methodologies, and therapeutic interventions contribute significant insights to the medical community. The study aims to deepen comprehension and guide clinicians in refined diagnostic and treatment approaches for pericardial hydatid cysts, ultimately improving patient outcomes. It underscores the imperative for continued research in this niche to enhance medical understanding and optimize clinical practices.

Determining reaction mechanisms that control the mobility of nutrients and toxic elements in soil matrices is confounded by complex assemblages of minerals, non-crystalline solids, organic matter, and biota. Our objective was to infer the chemical elements and solids that contribute to As binding in matrices of soil samples from different pedogenic environments at the micrometer spatial scale. Arsenic was reacted with and imaged in thin weathering coatings on eight quartz sand grains separated from soils of different drainage classes to vary contents of Fe and Al (hydr)oxides, organic carbon (OC), and other elements. The grains were analyzed using X-ray fluorescence microprobe (µ-XRF) imaging and microscale X-ray absorption near edge structure (μ-XANES) spectroscopy before and after treatment with 0.1 mM As(V) solution. Partial correlation analyses and regression models developed from multi-element µ-XRF signals collected across 100 × 100 µm2 areas of sand-grain coatings inferred augmenting effects of Fe, Zn, Ti, Mn, or Cu on As retention. Significant partial correlations (r′ > 0.11) between Fe and Al from time-of-flight secondary ion mass spectrometry (TOF-SIMS) analysis of most samples suggested that Fe and Al (hydr)oxides were partially co-localized at the microscale. Linear combination fitting (LCF) results for As K-edge μ-XANES spectra collected across grain coatings typically included >80% of As(V) adsorbed on goethite, along with varying proportions of standards of As(V) adsorbed on boehmite, As(V) or As(III) bound to Fe(III)-treated peat, and dimethylarsinic acid. Complementary fits for Fe K-edge μ-XANES spectra included ≥50% of the Fe(III)-treated peat standard for all samples, along with goethite. Our collective results inferred a dominance of Fe and possibly Al (hydr)oxides in controlling As immobilization, with variable contributions from Zn, Ti, Cu, or Mn, both across the coating of a single sand grain and between grains from soils developed under different pedogenic environments. Overall, these results highlight the extreme heterogeneity of soils on the microscale and have implications on soil management for mitigating the adverse environmental impacts of As.