Case report: Echinococcus disease of the bone presenting as a femoral shaft nonunion.
ABSTRACT Osseous hydatidosis (Echinococcus infection) is a rare parasitic bone infection that poses challenges in diagnosis and treatment. We present a novel case of osseous hydatidosis of the femoral shaft that was diagnosed at the time of surgery for a recalcitrant femoral shaft nonunion. We know of no reports of osseous hydatidosis presenting as a femoral shaft nonunion. A discussion of the challenges in diagnosis and treatment of osseous hydatidosis are discussed, and the literature on osseous hydatidosis is reviewed.
- SourceAvailable from: Abdolali Ebrahimi[Show abstract] [Hide abstract]
ABSTRACT: Hydatid disease is common in many parts of the world, and causes considerable health and economic loss. This disease may develop in almost any part of the body. Bone involvement is often asymptomatic, and its diagnosis is primarily based on radiographic findings. A whole body bone scan is able to show the extent and distribution of lesions. We describe an unusual case of multifocal skeletal hydatosis and also explain the clinical and diagnostic points. We hope to stimulate a high index of suspicion among clinicians to facilitate early diagnosis and to consider this disease as a differential diagnosis in cases of multiple abnormal activity in bone scintigraphy especially among people in endemic areas.Journal of Medical Case Reports 02/2007; 1:93. DOI:10.1186/1752-1947-1-93
- Zeitschrift fur Orthopadie und Unfallchirurgie 07/2008; 146(04):463-467. DOI:10.1055/s-2008-1038543 · 0.62 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: Osseous hydatidosis is a rare infection posing diagnostic and therapeutic challenge. We present a case of extensive hydatidosis of the femoral shaft with non-union of pathologic fracture. Patient had resection of involved femur and post-operative chemotherapy. Subsequently femur reconstruction was done using a femoral allograft. At 26 months patient has no recurrence and bony union is seen at host-allograft interface. We present this technique as an extended indication of allograft used in limb reconstruction.Archives of Orthopaedic and Trauma Surgery 01/2009; 129(12):1627-32. DOI:10.1007/s00402-008-0797-1 · 1.36 Impact Factor