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Can J Infect Dis Med Microbiol. 2013;24(3):e99-e101. doi: 10.1155/2013/829471.

Primary musculoskeletal hydatid cyst of the thigh: Diagnostic and curative challenge for an unusual localization.

The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale

Nicolas Argy, Ahmed Abou Bacar, Cyril Boeri, Caroline Lohmann, Alexander W Pfaff, Yves Hansmann, Daniel Christmann, Ermanno Candolfi, Nicolas Lefebvre

Affiliations

  1. Institut de parasitologie et de pathologie tropicale de Strasbourg, centre hospitalo-universitaire de Strasbourg, Strasbourg;
  2. Centre de traumatologie et d'orthopédie, hôpital d'Illkirch, Illkirch;
  3. Service des maladies infectieuses, centre hospitalo-universitaire de Strasbourg, Strasbourg, France.

PMID: 24421841 PMCID: PMC3852467 DOI: 10.1155/2013/829471

Abstract

Primary muscular echinococcosis is an uncommon localization of hydatid cysts. The nonspecific clinical presentation and possible post-therapeutic complications lead to problems for the diagnosis of this infection and the support of the patient. The authors describe an unusual case of double hydatid cyst of the vastus intermedius muscle. After a precise preoperative evaluation based on clinical, radiological and biological examinations, a surgical excision by pericystectomy combined with perioperative chemotherapy enabled the authors to treat the patient and to prevent postoperative complications. The diagnostic tools and the treatment of this particular type of echinococcosis are discussed.

Keywords: Hydatid cyst; Muscular echinococcosis; Pericystectomy; Perioperative chemotherapy

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