title: Recurrent Echinococcal Infection of the Lumbar Spine: An 11 Year Follow-up.
abstract: Spinal hydatid cyst is a rare occurrence in non endemic countries. We present a case of recurrent lumbar hydatid disease in a 21-year-old male who following initial treatment had a good functional outcome and healing for 8 years, following which he came back with complaints of low back ache and neurological deficit. Patient underwent a second surgery with global debridement of L3-L5 vertebrae followed by medical management for two years. He had a good surgical outcome with recovery from the neurological deficit. Patient has returned to his routine activities and is being reviewed every year; there is no evidence of recurrence in the past 3 years. To the best of our knowledge recurrence after 8 years of initial treatment, followed by good clinical and radiological outcome for 3 years after surgery and treatment of the recurrence has not been reported in literature.
authors.affiliation: Spinal Disorder Surgery, Christian Medical College, Vellore, India.
authors.forename: Mohamad
authors.initials: M
authors.lastname: Gouse
authors.forename: Rohit
authors.initials: R
authors.lastname: Amritanand
authors.forename: Krishnan
authors.initials: K
authors.lastname: Venkatesh
authors.forename: Gabriel David
authors.initials: GD
authors.lastname: Sundararaj
keywords: Albendazole; Echinococcosis; Lumbar vertebrae