Recurrence of femoral echinococcosis 5 years after a primary surgical procedure.
We report a case of recurring femoral hydatid disease in a trisomic-21 patient 5 years after a primary surgery. The patient presented a thigh abscess with a lateral supracondylar area fistula. The workup demonstrated massive osteolysis involving the proximal, diaphyseal,and distal femur as well as multiple soft tissue cystic masses but no metastases. Treatment consisted in cystic masses debridment, extensive bony-curettage of the intraosseous cystic zones, temporary weight-bearing suppression, and albendazole. The patient remains under follow-up and cannot be considered definitely cured.
Pelegri
C
C
Service de chirurgie orthopédique et traumatologie du Sport (Pr Boileau), hôpital de l'Archet-2, 151, route de Saint-Antoine-Ginestière, 06200 Nice, France. cedric.pelegri@gmail.com <cedric.pelegri@gmail.com>
Gaertner
E
E
Bernard
E
E
Boileau
P
P
Trojani
C
C
D015766:Albendazole / Q000627:therapeutic use; D000871:Anthelmintics / Q000627:therapeutic use; D003131:Combined Modality Therapy; D004314:Down Syndrome / Q000150:complications; D004443:Echinococcosis / Q000188:drug therapy / Q000601:surgery*; D005269:Femur / Q000469:parasitology* / Q000601:surgery*; D006801:Humans; D008297:Male; D009767:Obesity, Morbid / Q000150:complications; D012008:Recurrence; D055815:Young Adult
D000871:Anthelmintics; D015766:Albendazole