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Hydatid disease of bone.
Ahmad Hussain Mishwani1, Maqbool Ahmad, Anwar Saeed ud Din
1Department of Surgery, Combined Military Hospital, Rawalpindi. wwmishwani@hotmail.com
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|September 16, 2003
Summary
Primary hydatid disease of the femur is rare. This case highlights diagnosis during surgery for pathological fracture and successful medical and surgical treatment, though the patient later died from unrelated causes.
Area of Science:
- Medicine
- Parasitology
- Orthopedic Surgery
Background:
- Hydatid disease, caused by Echinococcus granulosus, typically affects the liver and lungs.
- Primary bone hydatid disease is rare, often presenting as an osteolytic lesion or pathological fracture.
- Consideration in differential diagnosis is crucial, especially in endemic areas or among individuals with rural/farming backgrounds.
Observation:
- A patient presented with a pathological fracture of the right femur.
- Diagnosis was established during surgical exploration for biopsy.
- The patient had eosinophilia and positive serological tests for hydatid disease.
Findings:
- Surgical management included cyst removal, scolicidal irrigation, bone grafting, and fracture immobilization.
- Adjuvant therapy consisted of four cycles of oral Albendazole.
- Post-treatment, eosinophilia and serological markers normalized.
Implications:
- This case underscores the importance of considering primary bone hydatid disease in the differential diagnosis of bone lesions.
- Prompt diagnosis and combined surgical and medical treatment are essential for managing this rare condition.
- Despite successful treatment of hydatid disease, patient outcomes can be influenced by comorbidities.