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Hydatid disease remains a serious health problem for the Mediterranean countries, such as Morocco. Living in a rural area is an important risk factor for the disease. Hydatid cysts are usually located in the liver, lung, and brain. Mediastinal hydatid disease is very rare that have been only anecdotally in the literature. The pathogenesis is due to the accidental infestation of a human by a dog's dejections which contained the Taenia Echinococcus granulosus. We report a case of primary mediastinal hydatic cyst localization simulating an acute coronary syndrome.

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Addison's disease, also known as primary adrenal insufficiency, is an endocrinological condition with a deficiency in the production of glucocorticoids and mineralocorticoids from the adrenal cortex. It's a very life-threatening disease that is often overlooked due to the unspecific range of symptoms patients usually present with, thus a prompt diagnosis is essential. We present the clinical history, physical findings, laboratory results, and imaging studies of a young female presenting with cardiogenic shock revealing Addisson's disease. The association between adrenal insufficiency and cardiogenic shock and pertinent literature are reviewed.