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: Josh E SchroederInjury Extra 09/2010; 41(9):97-100.
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ABSTRACT: Echinococcosis (hydatid cyst disease) in humans is a rare parasitic disease that primarily involves the liver and the lungs. Skeletal manifestation of the disease is seldom and often presents as a clinical and radiological problem. The contamination of the primary hydatid cyst complicates the treatment which is also difficult because of the invasive nature of bone involvement and the spillage of fluid with subsequent contamination seeding. We present a case of pathological femoral fracture secondary to contaminated primary hydatid cyst that has been finally treated with static intramedullary nailing. We highlight the importance of including the hydatid bone disease in the differential diagnosis of destructive bone lesions, and we suggest the intramedullary nailing as the final treatment of specific type of pathological fractures.European Journal of Orthopaedic Surgery & Traumatology 11/2009; 19(8):585-589. · 0.18 Impact Factor
- Zeitschrift fur Orthopadie und Unfallchirurgie 07/2008; 146(04):463-467. · 0.62 Impact Factor