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[Necessary hip disarticulation in extended echinococcosis of the femur]
1Section d'Orthopédie et de Traumatologie, Hôpital Clinique Saint Jean du 4e Secteur de Bucarest, Roumanie.
Insights
Pathological fracture of the femoral shaft due to hydatid disease is rare. This case highlights the challenges in treating such infections, ultimately requiring hip disarticulation due to persistent drainage.
Area of Science:
- Medical Case Study
- Infectious Diseases
- Orthopedic Surgery
Background:
- Hydatid disease, caused by Echinococcus tapeworms, can manifest in bone, leading to complications.
- Pathological fractures of the femur are uncommon manifestations of hydatidosis.
Observation:
- A case of pathological femoral shaft fracture secondary to hydatid disease was documented.
- Diagnosis was confirmed intraoperatively by the presence of characteristic whitish vesicles.
Findings:
- Despite extensive surgical intervention, including curettage, persistent infected drainage was observed.
- The extensive infection and bone destruction necessitated a hip disarticulation.
Implications:
- This case underscores the diagnostic and therapeutic challenges posed by skeletal hydatidosis.
- Aggressive surgical management and prolonged antimicrobial therapy may be required for bone hydatidosis, with potential for severe morbidity.
Abstract:
The authors have studied one case of pathological fracture of the femoral shaft related to hydatid disease. The diagnosis was based on the presence of whitish vesicles at the surgical procedure. Despite extensive, curettage and a number of other surgical procedures, infected drainage was persisting. The outcome was poor and a hip disarticulation had to be done.