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Trichinoechinococcosis T-5. Case report
H S Bhatoe1, S S Bakshi, G L Swamy
1Department of Neurosurgery, Command Hospital (NC), Udhampur, India. bhatoe@lwl.vsnl.net.in
Journal of Neurosurgery
|April 14, 2000
Summary
Spinal echinococcosis, a rare condition, can cause thoracic spinal cord compression. This case highlights a unique co-infestation with Trichinella, successfully treated with surgery and albendazole therapy.
Area of Science:
- Medical Parasitology
- Neurosurgery
- Infectious Diseases
Background:
- Spinal echinococcosis is an uncommon parasitic infection.
- Thoracic spinal cord compression presents a significant clinical challenge.
Observation:
- A 23-year-old male presented with symptoms of thoracic spinal cord compression.
- Magnetic resonance imaging revealed an extradural cystic lesion involving the thoracic spine and paraspinal muscles.
Findings:
- Surgical exploration confirmed echinococcosis.
- Histopathology revealed concomitant Trichinella infestation in the paraspinal musculature.
- The patient showed remarkable improvement after decompressive surgery and albendazole treatment.
Implications:
- This case represents the first reported instance of co-infestation of the spine with Echinococcus and Trichinella.
- Surgical decompression followed by antiparasitic therapy (albendazole) is crucial for managing spinal parasitic infections.
- Highlights the importance of considering co-infections in rare parasitic diseases affecting the spine.
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