Skeletal manifestations of hydatid cystic disease in Sudan

Abstract

Objectives Hydatid bone disease is a zoonotic disease caused mainly by Echinococcus granulosus . Middle Eastern, African, and Mediterranean populations are endemically affected. Hydatid disease of the bone is a rare clinical condition that affects people with a history of animal contact. This research aims to revisit clinical presentations of hydatid cystic disease in the skeletal system. Methods Data of all clinical cases with hydatid cystic disease of the skeletal system, presenting between 2011 and 2016 were collected. Clinical manifestations and radiographic and histopathological reports were reviewed, and the patients were followed for a period of 12–22 months. Results Two patients had hydatid disease in the spine, one in the pelvis, one in the sternum, and one in the femur. The symptoms were suggestive of pathological fractures and bony deformities. Spinal hydatid disease presented with nerve root compression and paraparesis in one case, and radicular pain in the other case. Sternal involvement of hydatid disease presented with pain and deformity, while femoral involvement presented with deformity and fracture. Surgical resection with a pre- and post-surgical anthelminthic course and application of the puncture, aspiration, injection, and aspiration (PAIR) technique were completed in four cases. One case showed residual disease during follow-up visits. Conclusions Hydatid cystic disease of the skeletal system is a rare presentation of a common disease. A multidisciplinary approach is optimal for the management of these cases. Long-term follow-up is mandatory to prevent complications and recurrence, and to monitor residual disabilities.

Computed tomography and magnetic resonance imaging of hydatid disease: A pictorial review of uncommon imaging presentations

“…The most common involved bones are vertebrae (50%), pelvis (21%), femur (16%), tibia (10%), and with lower incidence rates in ribs, skull, scapula, humerus, and fibula [9,48,49]. Bone involvement could be primary but lots of chest wall and spinal osseous HDs have resulted from extension of adjacent lung or liver HD [50]. The involved patients can remain Figure 4.…”

Metal Ion–Peptide-Intermediated Ligand Transfer for Serum Detection of the Omicron Variant of SARS-Cov-2 in Echinococcosis Patients

“…Common chronic diseases such as chronic inflammation, diabetes, and cardiovascular conditions can now be relatively easily detected early on. However, other more obscure chronic conditions are hard to detect in time, such as being infected by the tapeworm (Echinococcus granulosus), which often results in cysts residing in the bones, difficult to detect. − Therefore, here, an attempt is made to design a new method of virus detection for evaluating the infection of the omicron variant in Echinococcosis (cyst-bearing) patients. As a recent case report alerted that some symptoms of cysts may be wrongly interpreted as accurate infection by the virus, leading to potentially fatal results …”