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[骨包虫病:2例报告]

[Hydatid disease of bone: a report of 2 cases].

作者信息

Bel Hadj Youssef D, Loussaief C, Ben Rhomdhane F, Chakroun M, Abid A, Bouzouaia N

机构信息

Service des maladies infectieuses, hôpital universitaire Fattouma-Bourguiba, 5000 Monastir, Tunisie.

出版信息

Rev Med Interne. 2007 Apr;28(4):255-8. doi: 10.1016/j.revmed.2006.12.011. Epub 2007 Jan 22.

Abstract

INTRODUCTION

The hydatid cyst of Echinococcus granulosus tends to develop in liver. The primary bone hydatidosis is rare. EXEGISIS: The authors report 2 cases of primary hydatidosis of bone in a 57 year old men and 60 year old diabetic women. The symptoms and signs were not specific. The ultrasound investigation: standard radiography and computed tomographic scan, was suggestive of the lesion. The chest radiograph and the abdominal ultrasound were normal. Serological tests for hydatid disease were positive. The two patients have surgical excision and medical treatment: Albendazole administrated for 6 months. Histologic evidence confirmed the diagnosis. The outcome was good for both patients without recurrence after 2 years.

CONCLUSION

Through these 2 cases and a review of the literature, the authors analyse the epidemiological and clinical aspects of bone hydatidosis and discuss the therapeutic procedures.

摘要

引言

细粒棘球绦虫的包虫囊肿倾向于在肝脏中发展。原发性骨包虫病较为罕见。

病例报告

作者报告了2例原发性骨包虫病病例,分别为一名57岁男性和一名60岁糖尿病女性。症状和体征不具有特异性。超声检查、标准X线摄影和计算机断层扫描提示了病变。胸部X线片和腹部超声检查正常。包虫病血清学检测呈阳性。两名患者均接受了手术切除和药物治疗:服用阿苯达唑6个月。组织学证据证实了诊断。两名患者的预后良好,2年后均无复发。

结论

通过这2例病例并结合文献复习,作者分析了骨包虫病的流行病学和临床特点,并讨论了治疗方法。

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