El Ibrahimi Abdelhalim, Ankouz Amal, Daoudi Abdelkrim, Elmrini Abdelmayid
Department of Orthopaedic Surgery B4, University Hospital of Fez, Morocco;
Orthop Rev (Pavia). 2009 Jun 30;1(1):e8. doi: 10.4081/or.2009.e8.
Echinococcosis is a parasitic disease produced by the larval stage of Echinococcus granulosus. Hydatid disease of bone is rarely seen in humans and it has been reported in only 1-2% of cases of echinococcosis. We present a patient who developed hydatid disease of the left pelvic and femoral bones with cartilage destruction of the ipsilateral hip joint revealing a retroperitoneal location of hydatid cyst. Hydatid bone must be present in the differential diagnosis of chronic monoarthritis. Skeletal involvement is usually secondary to visceral hydatidosis that we must research. Early diagnosis allows eradication and salvage of the bone and the hip joint. Delayed diagnosis is always fraught with the risk of recurrence and sepsis.
棘球蚴病是由细粒棘球绦虫的幼虫阶段引起的一种寄生虫病。骨包虫病在人类中很少见，仅在1%-2%的棘球蚴病病例中被报道。我们报告了一名患者，其左侧骨盆和股骨发生了包虫病，同侧髋关节软骨破坏，提示包虫囊肿位于腹膜后。在慢性单关节炎的鉴别诊断中必须考虑骨包虫病。骨骼受累通常继发于我们必须排查的内脏包虫病。早期诊断有助于根除疾病并挽救骨骼和髋关节。诊断延迟总是伴随着复发和败血症的风险。
