Musculoskeletal involvement in cystic echinococcosis: report of eight cases and review of the literature.

Merkle, Elmar M.; Schulte, M.; Vogel, Jochen; Tomczak, R.; Rieber, A.; Kern, Peter; Goerich, J; Brambs, Hans-Juergen; Sokiranski, Roman

doi:10.2214/ajr.168.6.9168719

Cited by 126 publications

(126 citation statements)

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“…Due to their physiologic role as capillary filters and their vast capillary volume, the liver and lung are most often affected. Other manifestations are found in 15% of the patients, with the skeletal system making up for l-4% of all cases [3]. Voluntary muscles are a very rare site of infection, counting for <1% of total [4].…”

Section: Introductionmentioning

confidence: 99%

Gluteal region musculoskeletal hydatid cyst: Case report and review of literature

2010

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Hydatid disease is a parasitic infestation of humans and herbivorous animals, caused by Echinococcu granulosus. Dogs and some wild carnivores, like foxes, are definitive hosts, harboring worms in their intestines. Musculoskeletal cysts account for 0.7-3% of total cases of hydatidosis. Primarymuscular hydatidosis without involving the thoracic or abdominal organs is extremely rare. Intramuscular infestation may mimic a soft tissue tumor leading to inappropriate cyst rupture with the attendant risks of anaphylaxis and dissemination to other organs. So preoperative evaluation is critical to avoid lifethreatening complications. We report a case of 34-year-old male patient with a cystic gluteal swelling turning out to be hydatid cyst on surgical exploration. Surgical excision with a pharmacology complementary treatment with antihelementhics is necessary to achieve the complete healing.

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Section: Introductionmentioning

confidence: 99%

Gluteal region musculoskeletal hydatid cyst: Case report and review of literature

2010

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“…The multivesicular lesion is characteristic of hydatid cyst and refl ects multiple daughter cysts within the parent cyst, whereas a solid or complex lesion is the result of infl ammatory changes and may mimic a tumor. As it is with the appearance of hydatid cyst on US, the presence of daughter cysts and detached membranes on CT may aid in the diagnosis (9) (20) . In addition, bony invasion is critical in soft tissue cysts, and the use of CT is advised as a part of screening and treatment protocols.…”

Section: Results Discussionmentioning

confidence: 99%

Hydatid cysts in muscles: clinical manifestations, diagnosis, and management of this atypical presentation

Tekin

Avcı

Tekin

et al. 2015

Rev. Soc. Bras. Med. Trop.

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Introduction: Hydatid cysts are rarely detected in muscle tissue (0.7-0.9%), even in endemic countries. The aim of this study was to present information regarding the clinical manifestations, diagnosis, and management of muscle echinococcosis. Methods: Twenty-two patients with hydatid cysts in the muscle were followed from January 2006 through December 2014. Results: Twenty-four sites of muscle involvement were observed in the 22 patients. Fifteen (68%) of our patients were women, while seven (32%) were men. The mean age was 28.1 ± 15.4 (6-61) years. The most frequent locations were the thigh (27.2%) and the paravertebral region (13.6%). Most patients reported a painless slow-growing mass with normal overlying skin. Most (90.2%) cases were treated by surgical excision and fi ne-needle aspiration. Conclusions: Primary muscle hydatid cyst should be considered in the differential diagnosis in cystic masses of the muscular system without pain and localized enlargement of soft tissue, especially in endemic areas. Hydatid cyst should be investigated using serological tests and imaging modalities. If possible, total surgical excision of hydatid cyst in the muscle should be performed.

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“…The parasite has to cross pulmonary and hepatic filters to reach the muscles. High lactic acid level in muscle is regarded to be unsuitable for the parasite survival and muscular contractions prevent fixation of larva to the tissue [4,6]. Sener et al proposed an alternative mechanism explaining how the parasite gained access to the paraspinal muscles.…”

Section: Discussionmentioning

confidence: 99%

Primary paraspinal hydatid cyst treated with puncture, aspiration, injection and re-aspiration (PAIR) technique: a case report

et al. 2008

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Hydatid disease is a parasitic tapeworm infection that usually involves liver and lungs. Primary skeletal muscle hydatid cyst without liver and lung involvement is rare. En bloc resection without inducing rupture and spreading the daughter cyst is recommended treatment strategy and accepted to be curative for intramuscular hydatid cyst. We report a case of primary hydatid cyst of the erector spinae muscle which was treated successfully with ultrasonography guided puncture, aspiration, injection of 95% ethanol and re-aspiration (PAIR) technique.

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Musculoskeletal involvement in cystic echinococcosis: report of eight cases and review of the literature.

Cited by 126 publications

References 1 publication

Gluteal region musculoskeletal hydatid cyst: Case report and review of literature

Gluteal region musculoskeletal hydatid cyst: Case report and review of literature

Hydatid cysts in muscles: clinical manifestations, diagnosis, and management of this atypical presentation

Primary paraspinal hydatid cyst treated with puncture, aspiration, injection and re-aspiration (PAIR) technique: a case report

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