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Related Experiment Videos

Multilocular echinococcosis in humerus: a case report.

B Aslan1, G Aslan, I Ozardali

  • 1Department of Orthopaedic, State Hospital, Medical Faculty, Harran University, Sanlurfa, Turkey.

Journal of the Egyptian Society of Parasitology
|January 5, 2002
PubMed
Summary
This summary is machine-generated.

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A rare case of bone hydatid cyst caused by Echinococcus multilocularis in a humerus was successfully treated. Surgical removal and Albendazole therapy led to complete symptom resolution and normalization of imaging and serological markers.

Area of Science:

  • Medical Parasitology
  • Orthopedic Surgery
  • Infectious Diseases

Background:

  • Hydatid cysts, primarily caused by Echinococcus granulosus, are uncommon, with bone involvement occurring in only 0.9-2% of cases.
  • Echinococcus multilocularis is a less frequent cause of hydatid disease compared to E. granulosus.
  • Bone infections present diagnostic challenges, often mimicking other bone pathologies.

Observation:

  • A 35-year-old female presented with humerus pain and swelling, showing bone destruction on radiography and ultrasonography.
  • Initial differential diagnosis included endosteal sarcoma, necessitating a biopsy.
  • Serological tests, including indirect hemagglutination and ELISA (IgG), were highly positive for hydatid antibodies.

Findings:

  • Histopathological examination confirmed the presence of numerous hydatid cysts within the bone tissue.

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  • Surgical intervention successfully removed the cysts from the humerus.
  • Post-operative treatment with Albendazole resulted in complete regression of symptoms and signs.

    • Implications:

    • This case highlights the importance of considering rare parasitic infections like Echinococcus multilocularis in bone lesions.
    • Successful management involves a combination of surgical debridement and antiparasitic medication (Albendazole).
    • Prompt diagnosis and treatment lead to favorable outcomes, including radiological and serological normalization.