Disseminated hydatid disease causing paraplegia and destruction of the hip.
A patient who had had been treated by surgery for spinal echinococcosis in a Mediterranean country emigrated to northern Europe. After surgery, the echinococcosis disseminated and he developed chronic lytic and sinus-draining hydatid disease of the left hip and neuromuscular weakness of the left lower extremity. Seventeen years after the spinal surgery, he was referred to our hip service for a possible total hip replacement (THR) after receiving adequate chemotherapy against echinococcosis for nearly 3 years. Because of the poor results reported by others, we decided against THR; two of the four previous patients described in the current literature who had THR died due to complications.
Santavirta
S
S
Department of Orthopaedics and Traumatology, Helsinki University Central Hospital, Finland.
Valtonen
M
M
Pätiälä
H
H
Saarinen
O
O
Konttinen
Y T
YT
D000328:Adult; D001847:Bone Diseases / Q000000981:diagnostic imaging / Q000382:microbiology*; D004443:Echinococcosis / Q000150:complications* / Q000000981:diagnostic imaging; D006621:Hip Joint / Q000382:microbiology*; D006801:Humans; D008297:Male; D010264:Paraplegia / Q000209:etiology*; D011859:Radiography; D013122:Spinal Diseases / Q000382:microbiology