title: Primary musculoskeletal hydatid cyst of the thigh: Diagnostic and curative challenge for an unusual localization.
abstract: Primary muscular echinococcosis is an uncommon localization of hydatid cysts. The nonspecific clinical presentation and possible post-therapeutic complications lead to problems for the diagnosis of this infection and the support of the patient. The authors describe an unusual case of double hydatid cyst of the vastus intermedius muscle. After a precise preoperative evaluation based on clinical, radiological and biological examinations, a surgical excision by pericystectomy combined with perioperative chemotherapy enabled the authors to treat the patient and to prevent postoperative complications. The diagnostic tools and the treatment of this particular type of echinococcosis are discussed.
authors.affiliation: Institut de parasitologie et de pathologie tropicale de Strasbourg, centre hospitalo-universitaire de Strasbourg, Strasbourg;
authors.forename: Nicolas
authors.initials: N
authors.lastname: Argy
authors.affiliation: Institut de parasitologie et de pathologie tropicale de Strasbourg, centre hospitalo-universitaire de Strasbourg, Strasbourg;
authors.forename: Ahmed
authors.initials: A
authors.lastname: Abou Bacar
authors.affiliation: Centre de traumatologie et d'orthopédie, hôpital d'Illkirch, Illkirch;
authors.forename: Cyril
authors.initials: C
authors.lastname: Boeri
authors.affiliation: Institut de parasitologie et de pathologie tropicale de Strasbourg, centre hospitalo-universitaire de Strasbourg, Strasbourg;
authors.forename: Caroline
authors.initials: C
authors.lastname: Lohmann
authors.affiliation: Institut de parasitologie et de pathologie tropicale de Strasbourg, centre hospitalo-universitaire de Strasbourg, Strasbourg;
authors.forename: Alexander W
authors.initials: AW
authors.lastname: Pfaff
authors.affiliation: Service des maladies infectieuses, centre hospitalo-universitaire de Strasbourg, Strasbourg, France.
authors.forename: Yves
authors.initials: Y
authors.lastname: Hansmann
authors.affiliation: Service des maladies infectieuses, centre hospitalo-universitaire de Strasbourg, Strasbourg, France.
authors.forename: Daniel
authors.initials: D
authors.lastname: Christmann
authors.affiliation: Institut de parasitologie et de pathologie tropicale de Strasbourg, centre hospitalo-universitaire de Strasbourg, Strasbourg;
authors.forename: Ermanno
authors.initials: E
authors.lastname: Candolfi
authors.affiliation: Service des maladies infectieuses, centre hospitalo-universitaire de Strasbourg, Strasbourg, France.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Lefebvre
keywords: Hydatid cyst; Muscular echinococcosis; Pericystectomy; Perioperative chemotherapy