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肌肉骨骼系统包虫病:罕见病例报告,原发且仅局限于右半骨盆和股骨。

Musculoskeletal hydatid disease: report of a rare case with primary and exclusive localization in right hemi-pelvis and femur.

机构信息

Department of Diagnostic Medicine Institute of Radiology, IRCCS San Matteo University Hospital Foundation, Pavia, Italy.

Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy.

出版信息

J Biol Regul Homeost Agents. 2018 Nov-Dec;32(6 Suppl. 1):83-87.

Abstract

Hydatid Disease (HD), also called , is a parasitic infection caused by the larval stage of the tapeworm : or . HD occur most frequently in liver or lungs, rarely in brain, skeletal muscles, bones, kidneys, spleen. Bone infestation of cysts occurs respectively by haematogenous seeding and progressive invasion into bone by lesions in the adjacent soft tissues. Patients with musculoskeletal HD clinically show the disease in adulthood because the lesions develop very slowly. In some cases, HD is an uncommon cause of soft tissue mass, pain and neurovascular symptoms due to compression or to secondary infection. Diagnostic imaging plays an important role in the diagnosis of HD and in the differential diagnosis with soft tissue tumors. We present a rare case of male patient of 42 year-old with diagnosis of HD with primary and exclusive localization in right hemi-pelvis and femur.

摘要

包虫病(HD),又称囊型包虫病,是由绦虫幼虫引起的寄生虫感染:细粒棘球绦虫或多房棘球绦虫。HD 最常发生在肝或肺,很少发生在脑、骨骼肌、骨骼、肾脏、脾脏。囊肿的骨骼感染分别通过血源性播种和通过相邻软组织中的病变向骨骼的进行性侵犯发生。患有肌肉骨骼 HD 的患者在成年时出现临床疾病,因为病变发展非常缓慢。在某些情况下,HD 由于压迫或继发感染而成为软组织肿块、疼痛和神经血管症状的不常见原因。诊断成像在 HD 的诊断和与软组织肿瘤的鉴别诊断中发挥着重要作用。我们提出了一个罕见的病例,一名 42 岁男性患者,诊断为原发性和完全局限于右半骨盆和股骨的 HD。

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