Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Patient Safety in Surgery
Published in: Patient Safety in Surgery 1/2017

Open Access 01-12-2017 | Case report

Musculoskeletal Echinococcus infection as a rare first presentation of hydatid disease: case report

Authors: A. Marzouki, A. Naam, S. Abdulrazak, B. Soumaré, K. Lahrach, F. Boutayeb

Published in: Patient Safety in Surgery | Issue 1/2017

Login to get access

Abstract

Background

Hydatid disease (HD) is a cosmopolitan parasitosis caused by Echinococcus granulosus that can potentially affect any part of the human body. Liver and lungs are the most frequent localizations. Primary musculoskeletal hydatidosis are seldom reported in literature and their incidence is unknown.

Case presentation

We deem interesting to report a case of a primary hydatid cyst in a 25-year-old patient who presented with a painful swelling of the right elbow. Meticulous examination and preoperative imaging did not reveal other localizations. Patient was admitted for surgery where total excision of cyst was done without intraoperative spillage and a cutaneous skin flap was subsequently required to make up for soft tissue loss.

Conclusion

Primary hydatid cysts are sometimes difficult to diagnose preoperatively. It should be considered in the differential diagnosis of subcutaneous cystic lesions in regions where hydatid cysts are endemic. Currently, surgical excision is deemed first choice treatment for solitary cysts and antihelminthic treatment should be initiated preoperatively in the case of risk of rupture or in the event of complications.
Literature
1.
Salamone G, Licari L, Randisi B, Di Carlo P, Tutino R, Falco N, Augello G, Raspanti C, Cocorullo G, Gulotta G. A primary subcutaneous hydatid cyst in the thigh A case report. Ann Ital Chir. 2016;87(EPUB):S2239253X16024324.
2.
Salamone G, Tutino R, Atzeni J, Licari L, Falco N, Orlando G, Gulotta G. Liver hydatidosis: reasoned indications of surgical treatment. Comparison between conservative and radical techniques. Retrospective study. Ann Ital Chir. 2014;85:422–30.PubMed
3.
Eckert J, Deplazes P. Biological, epidemiological, and clinical aspect of Echinococcosis, a zoonosis of increasing concern. Clin Microbiol Rev. 2004;17(1):107–35.CrossRefPubMedPubMedCentral
4.
5.
Di Carlo P, Di Vita G, Guadagnino G, Cocorullo G, D’Arpa F, Salamone G, Salvatore B, Gulotta G, Cabibi D. Surgical pathology and the diagnosis of invasive visceral yeast infection: two case reports and literature review. World J Emerg Surg. 2013;8(1):38. doi:10.​1186/​1749-7922-8-38.CrossRefPubMedPubMedCentral
6.
Gupta A, Singal RP, Gupta S, Singal R. Hydatid cyst of thigh diagnosed on ultrasonography- a rare case report. J Med Life. 2012;5:196–7.PubMedPubMedCentral
7.
Lamine A, Fikry T, Zryouil B. Primary hydatidosis of the peripheral muscles: 7 case reports. Acta Orthop Belg. 1993;59:184–8.PubMed
8.
Parsak CK, Eray IC, Sakman G, Eray SI, Gumurdurlu D, Akcam T, Parsak CK. Hydatid disease involvement of primary subcutaneous tissue in the posterior proximal thigh--an unusual localization. Int J Dermatol. 2008;47(4):417–8.CrossRefPubMed
9.
Gürbüz B, Baysal H, Baysal B, Yalman H, Yiğitbaşı MR. Isolated gluteal hydatid cyst. Turkiye Parazitol Derg. 2014;38(1):51–4. Turkish. [PubMed]CrossRefPubMed
10.
Steurer S, Auer H. Primary cystic echinococcosis in the subcutaneous gluteal region - a case report. Wien Klin Wochenschr. 2008;120(19–20 Suppl 4):101–3.CrossRefPubMed
11.
Kammerer SK, Schantz PM. Echinococcal disease. Infect Dis Clin N Am. 1993;7:605–15.
12.
Yorukoglu Y, Zengin M, Dolgun A, et al. Primary muscular hydatid cyst causing arterial insufficiency: case report and literature review. Angiology. 1993;44:399–401.CrossRefPubMed
13.
Carpintero P, Kindelan J, Montero R, Carpintero A. Primary hydatidosis of the peripheral muscles: treatment with albendazole. Clin Infect Dis. 1997;24:85–6.CrossRefPubMed
14.
15.
16.
Ozsoy M, Keles C, Kahya M, Keles G. Primary echinococcal cyst in the axillary region. J Infect Dev Ctries. 2011;5(11):825–7.CrossRefPubMed
17.
Marrone, Gianluca et al. “Multidisciplinary Imaging of Liver Hydatidosis.” World Journal of Gastroenterology: WJG 18.13 (2012): 1438–1447. PMC. Web. 10 Apr. 2017.
18.
Thursky K, Torresi J. Primary muscle Hydatidosis of the thigh: Management of a Complicated Case with combination adjunctive Albendazole and Praziquantel chemotherapy. Clin Infect Dis. 2001;32(3):e65–8. doi:10.​1086/​318521.CrossRefPubMed
19.
Ormeci N, Idilman R, Akyar S, et al. Hydatid cysts in muscle: a modified percutaneous treatment approach. Int J Infect Dis. 2007;11:204–8.CrossRefPubMed
20.
Mohamed AE, Yasawy MI, Al Karawi MA. Combined albendazole and praziquantel versus albendazole alone in the treatment of hydatid disease. Hepato-Gastroenterology. 1998;45:1690–4.PubMed
21.
Arazi M, Ericoglou M, Odev K, Memik R, Ozdemir M. Primary echinococcus infestation of the bone and muscles. Clin Orthop Rel Res. 2005;432:234–41.CrossRef
Metadata
Title
Musculoskeletal Echinococcus infection as a rare first presentation of hydatid disease: case report
Authors
A. Marzouki
A. Naam
S. Abdulrazak
B. Soumaré
K. Lahrach
F. Boutayeb
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Patient Safety in Surgery / Issue 1/2017
Electronic ISSN: 1754-9493
DOI
https://doi.org/10.1186/s13037-017-0136-y

Other articles of this Issue 1/2017

Patient Safety in Surgery 1/2017 Go to the issue

Research

Does partial coating with titanium improve the radiographic fusion rate of empty PEEK cages in cervical spine surgery? A comparative analysis of clinical data

Research

Risk factors for surgical site infections in obstetrics: a retrospective study in an Ethiopian referral hospital

Research

Length of stay, costs, and complications in lumbar disc herniation surgery by standard PLIF versus a new dynamic interspinous stabilization technique

Research

Exploring unnecessary invasive procedures in the United States: a retrospective mixed-methods analysis of cases from 2008-2016

Hypothesis

Introducing the “Bone-Screw-Fastener” for improved screw fixation in orthopedic surgery: a revolutionary paradigm shift?

Short report

Should nurses be allowed to perform the pre-operative surgical site marking instead of surgeons? A prospective feasibility study at a Swiss primary care teaching hospital