Hydatid Disease of Bone - Contents | Cases | Comments | Bibliography

Hydatid Disease of Bone

Comments

Hydatid disease of the bone and soft tissue of the musculoskeletal system is uncommon. Turkey is an endemic area of the disease, too. Therefore we treated some patients affected the disease. We reported two articles about this (1,7). Recently, a spinal case has been published in Orthopedics (1).

It leads to many diagnostic and therapeutic problems. Because early diagnosis of the disease is difficult, the patients often are admitted to the hospital when the disease is advanced and widespread. Therefore, treatment failure not unusual. Recurrence is common.

I suggested radical extensive resection of the lesion and albendazole medication, after surgery. Recently succesful clinical results have been reported with albendazole (3,7,15).

For bacteriel superinfection, broad-spectrum antibiotics (such as Cephalosporins) should be administred following radical excision. I also suggest some references may be useful.

Mehmet Arazi MD,
Assist Prof.
Department of Orthopaedics and Traumatology
Selcuk University, Medical School
Konya,42080,Turkey.
Email: marazi19@hotmail.com


1. ArazI M, MemIk R, Kapicioglu MI. Answer please. Hydatid disease of the
spine. Orthopedics 1998 21(8):912,909-910.
2. Agarwal S,  Shah A, Kadhi SKM, Rooney RJ: Hydatid disease of the pelvis.
Clin Orthop  1991; 280:251-255.
3. Szypryt EP,  Morris DL, Mulholland RC: Combined chemotherapy and surgery
for hydatid bone disease. J Bone Joint Surg 1987; 69B(1):141-144.
4. Alldred AJ, Nisbet NW: Hydatid disease of bone in Australasia. J Bone
Joint Surg 1964; 46B(2):260-267.
5. Booz MK: The management of hydatid disease of bone and joint. J Bone
Joint Surg 1972; 54B(4):698-709.
6. Duran H, Fernandez  L, Gomez-Castresana F, et al:  Osseous hydatidosis. J
Bone Joint Surg 1978; 60A:685-690.
7. Saglık Y, Memik R, Özbarlas S, Kapicioglu S, Demirtas M: Idatidosi
Dell’osso (Hydatid disease of bone). Giorn Italian Orthop Trauma 1994;
XX(2):281-287 (in Italian).
8. Markasis P, Markaki S, Prevedorou D, Bouropoulou V: Echinococcosis of
bone: clinicolaboratory findings and differential diagnostic problems. Arch
Anat Cytol Path 1990; 38:92-94.
9. Rao S,  Parikh S,  Kerr R: Echinococcal infestation of the spine in North
America. Clin Orthop 1991; 271:164-169.
10. Torricelli P, Martinelli C, Biagini R, Ruggieri P, De Cristofaro R:
Radiographic and computed tomographic findings in hydatid disease of bone.
Skeletal Radiol 1990; 19:435-439.
11. Rong SH, Nie ZQ:  Hydatid disease of bone. Clin. Rad 1985; 36:301-305.
12. Bellini MA: Osteohydatidosis: its radiological features. Radiology 1946;
47:569-574.
13. Beggs I: The radiology of hydatid disease. AJR 1985; 145:639-648.
14. Ocete G, Guerrero A, Diaz-Peletier R, Burgos J, Bouza E, DeMiguel C:
Experience in the treatment of osseous hydatidosis. International  Orthop
(SICOT) 1986; 10:141-145.
15. Saimot AG, Cremieux AC, Hay JM, et al: Albendazole as a potential
treatment for human hydatidosis. Lancet 1983; ii:652-656.