Chronic Osteomyelitis Secondary to Hydatid Disease of Bone - A Case Report

Osseous hydatidosis is a rare orthopedic condition. Osseous hydatidosis leading to chronic osteomyelitis is rarer with very few articles published on it. This presents a challenge in diagnosis and treatment. Here, we report a patient with chronic osteomyelitis secondary to Echinococcal infection.

A 30-year-old lady with fracture left femur operated elsewhere presented with a draining sinus. She underwent a debridement and sequestrectomy. The condition was quiescent until 4 years later when symptoms recurred. She again underwent debridement, sequestrectomy, and saucerisation. The biopsy showed hydatid cyst.

The diagnosis and treatment are challenging. The chances of recurrence are very high. Multimodality approach is recommended.