Hidatidosis ósea primaria humeral: una localización poco frecuente / Primary humeral echinococcosis: an unusual hydatid disease

Presentamos el caso de un hombre de 32 años con enfermedad hidatídica humeral complicada con fractura patológica y extensión extraósea. Se estableció el diagnóstico mediante radiografías, TC y laboratorio. La evolución postquirúrgica resultó favorable. Señalamos la importancia de considerar la hidatidosis ósea en el diagnóstico diferencial de lesiones destructivas óseas y como posible causa de masa palpable en la pared torácica, especialmente en regiones endémicas

Hidatidosis del húmero complicada con fractura, infección bacteriana, fístula y localización extraósea / Humeral hydatidosis complicated with fracture, bacterial infection, fistula and extrabone location

The clinical case of an apparently healthy 63-year-old man from a rural area, with previous contact with dogs, who had a pathological fracture of the right humerus in presented. Initially he presented slight local pain, and functional discapacity. Eigh months later, after a radiological study and surgery (curettage), diagnosis of hydatid disease was made. Later on, after receiving two courses with albendazole, the parient continued in similar conditions for seven years, when his situation became complicated with bacterial, fistula and extraoseous hydatidosis. The humeral was resected and a segmentary prothesis was successfully set