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Primary echinococcus infestation of the bone and muscles
Mehmet Arazi1, Mehmet Erikoglu, Kemal Odev
1Department of Orthopaedic Surgery and Traumatology, Selçuk University, Meram Medical School, Konya, Turkey. marazi@selcuk.edu.tr
Clinical Orthopaedics and Related Research
|March 2, 2005
Summary
Hydatid disease of the bone recurs frequently, even with modern treatments. However, surgical excision of muscle hydatid disease appears to prevent recurrence, offering better outcomes than bone involvement.
Area of Science:
- Parasitology
- Infectious Diseases
- Surgical Oncology
Background:
- Hydatid disease, caused by Echinococcus tapeworms, affects bones and muscles.
- Bone and muscle hydatidosis are rare, often incurable, and prone to recurrence.
Purpose of the Study:
- To evaluate recurrence rates in bone and muscle hydatid disease treated with current surgical techniques and chemotherapy.
- To compare outcomes between bone and muscle hydatid infestations.
Main Methods:
- Retrospective review of 15 patients with hydatid disease of the bone (8) or muscle (7).
- Average follow-up of 30 months (range, 6-69 months).
Main Results:
- Recurrence occurred in 4 of 8 patients with bone hydatid disease.
- No recurrence was observed in 7 patients after surgical excision of muscle hydatid disease.
- Outcomes for bone lesions were poorer compared to muscle lesions.
Conclusions:
- Hydatid disease of the bone remains recurrent and progressive despite advancements in diagnostics, surgery, and chemotherapy.
- Surgical excision of muscle hydatid disease appears to be a curative approach with no recurrence observed in this cohort.