Musculoskeletal hydatid disease: a report of 13 cases.
This is a retrospective study of 13 patients with muscular hydatidosis--i.e., 4% of the 309 cases of hydatid disease treated in our department during 1983-1999. The commonest clinical finding was an asymptomatic and slowly growing mass (7). Puncture or incision of the mass was followed by an infection of the cystic cavity with fistulization in 2 patients. The immunological findings were false negative in 4 patients. MR images were obtained in 4 patients before diagnosis, and were highly suggetive of hydatid disease. The cystic cavities in all 9 patients subjected to radical surgery healed without chemotherapy. Radical surgery was not possible in 4 cases, in 3 of whom the sacrum was involved. Medical treatment of these patients did not eliminate the disease and new operations were necessary.
García-Alvarez
Felícito
F
Orthopedic Surgery Area III, Hospital Lozano Blesa, ES-Zaragoza, Spain. fegarcia@comz.org
Torcal
Javier
J
Salinas
José C
JC
Navarro
Ana
A
García-Alvarez
Ignacio
I
Navarro-Zorraquino
Marta
M
Sousa
Ramón
R
Tejero
Eloy
E
Lozano
Ricardo
R
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015766:Albendazole / Q000627:therapeutic use; D000871:Anthelmintics / Q000627:therapeutic use; D000969:Antinematodal Agents / Q000627:therapeutic use; D004443:Echinococcosis / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008463:Mebendazole / Q000627:therapeutic use; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery*; D012189:Retrospective Studies
D000871:Anthelmintics; D000969:Antinematodal Agents; D008463:Mebendazole; D015766:Albendazole