Primary hydatid disease of the tibia. case report

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Primary hydatid disease of the tibia. Hydatidosis is an endemic disease in different parts of the world. Its causal agent is the cestode from the genus Echinococcus. The most commonly affected organs in humans are liver and lung. Bone hydatid disease is a very rare entity, accounting for 0.5 to 4% o...

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Autores principales: Arancibia, Agustín, Bürgesser, María V., Albertini, Ricardo A., Villalba, Carlos B.
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2012
Materias:
hidatidosis
hidatidosis ósea
tibia
hueso
Echinococcus Granulosus
hydatid disease
bone hydatid cyst
bone
Echinococcus
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/21440
Aporte de:
Revistas de la UNC de Universidad Nacional de Córdoba
id I10-R10-article-21440
record_format ojs
spelling I10-R10-article-214402019-05-10T12:42:03Z Primary hydatid disease of the tibia. case report Hidatidosis osea primaria de tibia. presentación de un caso Arancibia, Agustín Bürgesser, María V. Albertini, Ricardo A. Villalba, Carlos B. hidatidosis hidatidosis ósea tibia hueso Echinococcus Granulosus hydatid disease bone hydatid cyst tibia bone Echinococcus Primary hydatid disease of the tibia. Hydatidosis is an endemic disease in different parts of the world. Its causal agent is the cestode from the genus Echinococcus. The most commonly affected organs in humans are liver and lung. Bone hydatid disease is a very rare entity, accounting for 0.5 to 4% of total cases. We report a case of a 58 year-old woman from La Rioja, Argentina, who consulted for left infapatellar pain and walking disability of eight months duration. Imaging studies showed a cystic lesion which involved metaphysis and diaphysis of left proximal tibia. Surgical resection was performed and histopathological study confirmed that it was a hydatid cyst. The patient did well and completed three cycles of treatment with albendazole. Currently, she has no evidence of disease and she recovered motility of her left leg. Primary hydatid bone disease, where there is no evidence of systemic disease, is even more unusual. Tibia involvement occurs in up to 15% of the cases. These lesions clinically manifest when they suffer any type of complications. Preoperative diagnosis is mainly made by imaging studies. Lesions are usually osteolytic and can involve cortical bone and extend to soft tissues. Differential diagnosis with inflammatory processes and bone tumors should is mandatory. Treatment is surgical and prognosis is poor due to its high morbi-mortality rate and recurrence risk from 70 to 80%. Hidatidosis ósea primaria de tibia. La hidatidosis es una enfermedad endémica en diferentes partes del mundo y su agente causal es el cestodo del género Echinococcus. Los órganos más frecuentemente afectados en el ser humano son el hígado y el pulmón, siendo la hidatidosis ósea secundaria, una entidad muy poco común, representando el 0,5 al 4% del total. Se presenta el caso de una mujer de 58 años oriunda de La Rioja, Argentina, que consulta por dolor infrapatelar izquierdo y dificultad en la marcha de ocho meses de evolución. Las imágenes mostraron una lesión quística metafisodiafisaria proximal en la tibia izquierda. Se realizó una resección quirúrgica y el estudio histopatológico confirmó que se trataba de un quiste hidatídico. La paciente evolucionó favorablemente y completó el tratamiento con 3 ciclos de albenzadol. Actualmente se encuentra sin signos de enfermedad y ha recuperado su motilidad. La afección primaria del hueso, como el caso que presentamos, donde no hay evidencia de enfermedad sistémica, es aún más inusual. El compromiso de la tibia ocurre hasta en un 15% y son lesiones que se manifiestan clínicamente cuando presentan algún tipo de complicación. El diagnóstico preoperatorio es principalmente imagenológico y se debe realizar el diagnóstico diferencial con procesos tumorales e inflamatorios del hueso, ya que habitualmente se presenta como una lesión osteolitica que puede romper la cortical y expandirse a los tejidos blandos. El tratamiento es quirúrgico y su pronóstico es pobre, debido a su alta tasa de morbi–mortalidad y una recurrencia del 70 al 80%. Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2012-03-27 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/21440 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 69 No. 1 (2012); 51-55 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 69 Núm. 1 (2012); 51-55 Revista da Faculdade de Ciências Médicas de Córdoba; v. 69 n. 1 (2012); 51-55 1853-0605 0014-6722 10.31053/1853.0605.v69.n1 spa https://revistas.unc.edu.ar/index.php/med/article/view/21440/21091 Derechos de autor 2018 Universidad Nacional de Córdoba
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-10
container_title_str Revistas de la UNC
language Español
format Artículo revista
topic hidatidosis
hidatidosis ósea
tibia
hueso
Echinococcus Granulosus
hydatid disease
bone hydatid cyst
tibia
bone
Echinococcus
spellingShingle hidatidosis
hidatidosis ósea
tibia
hueso
Echinococcus Granulosus
hydatid disease
bone hydatid cyst
tibia
bone
Echinococcus
Arancibia, Agustín
Bürgesser, María V.
Albertini, Ricardo A.
Villalba, Carlos B.
Primary hydatid disease of the tibia. case report
topic_facet hidatidosis
hidatidosis ósea
tibia
hueso
Echinococcus Granulosus
hydatid disease
bone hydatid cyst
tibia
bone
Echinococcus
author Arancibia, Agustín
Bürgesser, María V.
Albertini, Ricardo A.
Villalba, Carlos B.
author_facet Arancibia, Agustín
Bürgesser, María V.
Albertini, Ricardo A.
Villalba, Carlos B.
author_sort Arancibia, Agustín
title Primary hydatid disease of the tibia. case report
title_short Primary hydatid disease of the tibia. case report
title_full Primary hydatid disease of the tibia. case report
title_fullStr Primary hydatid disease of the tibia. case report
title_full_unstemmed Primary hydatid disease of the tibia. case report
title_sort primary hydatid disease of the tibia. case report
description Primary hydatid disease of the tibia. Hydatidosis is an endemic disease in different parts of the world. Its causal agent is the cestode from the genus Echinococcus. The most commonly affected organs in humans are liver and lung. Bone hydatid disease is a very rare entity, accounting for 0.5 to 4% of total cases. We report a case of a 58 year-old woman from La Rioja, Argentina, who consulted for left infapatellar pain and walking disability of eight months duration. Imaging studies showed a cystic lesion which involved metaphysis and diaphysis of left proximal tibia. Surgical resection was performed and histopathological study confirmed that it was a hydatid cyst. The patient did well and completed three cycles of treatment with albendazole. Currently, she has no evidence of disease and she recovered motility of her left leg. Primary hydatid bone disease, where there is no evidence of systemic disease, is even more unusual. Tibia involvement occurs in up to 15% of the cases. These lesions clinically manifest when they suffer any type of complications. Preoperative diagnosis is mainly made by imaging studies. Lesions are usually osteolytic and can involve cortical bone and extend to soft tissues. Differential diagnosis with inflammatory processes and bone tumors should is mandatory. Treatment is surgical and prognosis is poor due to its high morbi-mortality rate and recurrence risk from 70 to 80%.
publisher Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2012
url https://revistas.unc.edu.ar/index.php/med/article/view/21440
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first_indexed 2022-08-20T01:25:56Z
last_indexed 2022-08-20T01:25:56Z
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