Qinghai University Medical College, Qinghai University, Kunlun Road No. 16, Chengxi District, Xining City, 810000, China.
Department of Orthopedics, Qinghai Provincial People's Hospital, 2 Gonghe Road, Chengdong District, Xining City, 810000, China.
BMC Infect Dis. 2024 Sep 16;24(1):980. doi: 10.1186/s12879-024-09849-1.
Cystic echinococcosis (CE) is prevalent in livestock farming regions around the world. However, it remains relatively rare compared to other infectious diseases. CE typically affects the liver, lungs, brain, and kidneys. Spinal and pleural wall involvement is exceedingly rare. We report a unique case of intradural and pleural wall CE in a young male, successfully treated with surgery and postoperative medication.
A 19-year-old Tibetan male from the Qinghai-Tibet Plateau was diagnosed with intradural and pleural wall CE through imaging, serology, and surgical pathology. According to the Dew/Braithwaite & Lees (BL) classification, his condition was an exceptionally rare form of spinal echinococcosis, compounded by an even rarer pleural wall involvement. Prompt surgical intervention and postoperative medication resulted in significant improvement in spinal cord compression symptoms.
This case highlights the diagnostic and therapeutic challenges of rare CE locations. MRI proved superior to CT in diagnosing bony cystic echinococcosis. Early surgical intervention combined with medication facilitates spinal cord function recovery, providing valuable insights for managing similar cases.
包虫病（CE）在世界范围内的畜牧业地区流行。然而，与其他传染病相比，它仍然相对较少。CE 通常影响肝脏、肺部、大脑和肾脏。脊柱和胸膜壁受累极为罕见。我们报告了一例年轻男性的硬脑膜内和胸膜壁 CE 病例，通过手术和术后药物治疗取得了成功。
一名来自青藏高原的 19 岁藏族男性，通过影像学、血清学和手术病理学诊断为硬脑膜内和胸膜壁 CE。根据 Dew/Braithwaite & Lees (BL) 分类，他的情况是一种极其罕见的脊柱包虫病形式，同时还伴有更为罕见的胸膜壁受累。及时的手术干预和术后药物治疗显著改善了脊髓压迫症状。
本病例突出了罕见 CE 位置的诊断和治疗挑战。MRI 在诊断骨囊性包虫病方面优于 CT。早期手术干预结合药物治疗有助于脊髓功能的恢复，为类似病例的治疗提供了有价值的见解。
