ABSTRACT
La hidatidosis causada por el echinococcus granulosus puede afectar cualquier órgano del cuerpo siendo el pulmón y el hígado los más comúnmente afectados. El compromiso vertebral por el echinococcus granulosus es de escasa prevalencia, comprendiendo con menos de 1% del compromiso óseo. Presentamos el caso de una mujer de 50 años que consultó en Servicio de Traumatología por cuadro de dolor lumbar progresivo, de cinco meses de evolución, irradiado a extremidad inferior derecha y posterior compromiso neurológico de extremidad. El estudio imagenológico reveló espondilodiscitis T12-L1 que posterior a estudio de biopsia confirmó este cuadro. El tratamiento es mixto, tanto ortopédico como quirúrgico. El nivel de recurrencia es alto, reportándose entre 30 y 40%. El objetivo de este caso es proponer diagnóstico diferencial de masa vertebral de origen desconocido y detallar el manejo de esta patología.
Hydatidosis caused by echinococcus granulosus may affect any organ in the body, with the lungs and the liver as the most commonly affected organs. Vertebral compromise resulting from echinococcus granulosus has a low prevalence and accounts for less than 1% of bone compromise. We report the case of a 50 year-old female who presented at the Trauma Service with progressive low back pain with 5 months of duration that irradiated to the right lower limb, and led to neurologic compromise of the limb. Imaging studies showed spondylodiscitis at T12-L1, confirmed by a biopsy. Treatment of this condition is both orthopedic and surgical. The recurrence rate is high, between 30 and 40%. The objective of describing this case is to propose the differential diagnosis of a vertebral mass of unknown origin and provide details as to how to manage this condition.
Subject(s)
Animals , Female , Humans , Middle Aged , Discitis/diagnosis , Echinococcosis/diagnosis , Low Back Pain/parasitology , Spinal Diseases/diagnosis , Diagnosis, Differential , Discitis/parasitology , Echinococcosis/pathology , Echinococcus granulosus/isolation & purification , Spinal Diseases/parasitologyABSTRACT
The aim of this paper is to report 30 patients with spinal hydatid cyst which is found in less than 1% of all cases of Hydatidosis. 30 patients with spinal Hydatid cyst were diagnosed and treated surgically using decompressive laminectomy, posterior approaches or transthoracic decompressive laminectomy with using hypertonic saline during surgery and albandazole in postoperative period
Subject(s)
Humans , Male , Female , Spinal Diseases/parasitology , LaminectomyABSTRACT
This paper reported vertebral unilocular hydatid cysts in a shepherd and his wife in Sharqia Governorate. Diagnosis was based on parasitological examination of the surgically removed cysts. Albendazole was given as postoperative treatment. Six months after treatment, MRI showed no recurrence and mild clinical improvement