Hydatid Disease of The Bone

A Rare Presentation

  • Ekta Jain Core Diagnostics Private limited, Gurgaon
  • Rajpal S Punia Govt Medical college & hospital, Sec-32, Chandigarh, India
  • Amrita Bhattacharya Govt Medical college & hospital, Sec-32, Chandigarh, India
  • Sudhir Garg Govt Medical college & hospital, Sec-32, Chandigarh, India
Keywords: Bone, Echinococcus, Hydatid cyst, Recurrence

Abstract

Hydatid disease of the bone is a very rare condition. It represents about 0.5–4% of all human hydatid disease. Spine is the most affected part of the skeleton (50% cases). Extra-spinal bone hydatidosis is much rare. A 20 year old woman presented with severe pain and swelling in left thigh. On examination, there was a boggy swelling in left thigh suggestive of abscess. MRI of left hip joint and thigh revealed features of osteomyelitis with pathological fracture in upper shaft along with multiloculated collections in upper thigh muscle. Biopsy revealed evidence of Hydatid cyst. Hydatid disease of the bone is a rare manifestation of Echinococcosis. It is hence important to consider the possibility of Hydatid disease of the bone as a differential diagnosis of lucent lesions of bone especially in areas where it is prevalent for proper treatment of the patient. Radiological, laboratory, and clinical findings combined with strong element of suspicion are the key for diagnosis.

Author Biographies

Ekta Jain, Core Diagnostics Private limited, Gurgaon
Department of Pathology
Rajpal S Punia, Govt Medical college & hospital, Sec-32, Chandigarh, India
Department of Pathology
Amrita Bhattacharya, Govt Medical college & hospital, Sec-32, Chandigarh, India
Dept of  Pathology
Sudhir Garg, Govt Medical college & hospital, Sec-32, Chandigarh, India
Dept of Orthopaedics

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Published
2019-12-31
Section
Case Report