Musculoskeletal Echinococcus infection as a rare first presentation of hydatid disease: Case report

被引:5
作者
Marzouki A. [1 ]
Naam A. [1 ]
Abdulrazak S. [2 ]
Soumaré B. [1 ]
Lahrach K. [1 ]
Boutayeb F. [1 ]
机构
[1] Faculty of Medicine and Pharmacy Sidi Mohammed Ben Abdellah University, Department of Trauma and Orthopedic Surgery A Hassan II Teaching Hospital, Fes
[2] Université Sidi Mohammed Ben Abdellah, Centre Hospitalier Hrazem, CHU Hassan II, Faculté de Médicine et de Pharmacie, BP: 1835 Atlas, Avenue Hassan II, Fès
关键词
Albendazole; Elbow; Hydatidosis; Primary; Subcutaneous;
D O I
10.1186/s13037-017-0136-y
中图分类号
学科分类号
摘要
Background: Hydatid disease (HD) is a cosmopolitan parasitosis caused by Echinococcus granulosus that can potentially affect any part of the human body. Liver and lungs are the most frequent localizations. Primary musculoskeletal hydatidosis are seldom reported in literature and their incidence is unknown. Case presentation: We deem interesting to report a case of a primary hydatid cyst in a 25-year-old patient who presented with a painful swelling of the right elbow. Meticulous examination and preoperative imaging did not reveal other localizations. Patient was admitted for surgery where total excision of cyst was done without intraoperative spillage and a cutaneous skin flap was subsequently required to make up for soft tissue loss. Conclusion: Primary hydatid cysts are sometimes difficult to diagnose preoperatively. It should be considered in the differential diagnosis of subcutaneous cystic lesions in regions where hydatid cysts are endemic. Currently, surgical excision is deemed first choice treatment for solitary cysts and antihelminthic treatment should be initiated preoperatively in the case of risk of rupture or in the event of complications. © 2017 The Author(s).
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