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膝关节肿块的罕见病因:骨包虫病。

An Unusual Cause of Knee Mass: Osseous Hydatidosis.

作者信息

Carvalho Gouveia Cristina, Morais Margarida, Correia Maria João, Marques Tiago, Pereira Álvaro

机构信息

Internal Medicine Department, Hospital São Francisco Xavier, Lisbon, PRT.

Infectious Diseases Department, Hospital Santa Maria, Lisbon, PRT.

出版信息

Cureus. 2021 Oct 6;13(10):e18556. doi: 10.7759/cureus.18556. eCollection 2021 Oct.

Abstract

Hydatid disease (hydatidosis) is a zoonotic infection caused by the larval stage of the parasitic tapeworm endemic in some sheep-raising areas. The liver and lungs are most commonly affected. Bone involvement (osseous hydatidosis) is distinctly uncommon, and its diagnosis and treatment can be challenging. We report a case of a 54-year-old male with right knee pain and edema and an extensive lesion on the femur; he was diagnosed with knee hydatidosis and was successfully treated with surgery and albendazole. This case reinforces the importance of the rare osseous hydatidosis as part of the differential diagnosis of bone lesions.

摘要

包虫病是一种由寄生绦虫幼虫阶段引起的人畜共患感染,在一些养羊地区流行。肝脏和肺是最常受累的部位。骨骼受累(骨包虫病)明显不常见,其诊断和治疗具有挑战性。我们报告一例54岁男性,右膝关节疼痛、肿胀,股骨有广泛病变;他被诊断为膝关节包虫病,经手术和阿苯达唑治疗成功。该病例强化了罕见骨包虫病作为骨病变鉴别诊断一部分的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b5a/8575323/2e830bea586a/cureus-0013-00000018556-i01.jpg

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