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IDCases. 2017 Nov 23;11:12-15. doi: 10.1016/j.idcr.2017.11.008. eCollection 2018.

A recurrent hydatid cyst of the thigh diagnosed 13 years after initial presentation.

IDCases

Sapha Barkati, Guillaume Butler-Laporte, Momar Ndao, Oluyomi Kabiawu Ajise, Makeda Semret, Cédric P Yansouni, Michael Libman

Affiliations

  1. J.D. MacLean Centre for Tropical Diseases, McGill University, Montreal, Canada.
  2. Centre Hospitalier de l'Université de Montréal (CHUM), Montreal, Canada.
  3. National Reference Centre for Parasitology, Research Institute of the McGill University Health Centre, Montreal, Canada.
  4. Department of Pathology, McGill University Health Centre (MUHC), Montreal, Canada.

PMID: 29255673 PMCID: PMC5725221 DOI: 10.1016/j.idcr.2017.11.008

Abstract

This case presents a hydatid cyst of the thigh in a 57-year-old patient born and raised in rural Montenegro. He presented with a painful erythematous mass on the lateral aspect of the right thigh at the site of a previous cystic mass resection 13 years earlier. Complete surgical resection was conducted, histopathology revealed laminated membranes and polymerase chain reaction was positive for Echinococcus granulosus. Primary musculoskeletal hydatidosis is a rare entity and diagnosis is challenging. Any cystic lesion in a patient from an endemic area should raise the possibility of echinococcosis, regardless of anatomic location. The key aspects of diagnosis, albendazole treatment and surgical management are discussed.

Keywords: Albendazole; Echinococcus granulosus; Hydatid cyst; Musculoskeletal hydatidosis; Surgical resection

References

  1. Can J Infect Dis Med Microbiol. 2013 Fall;24(3):e99-e101 - PubMed
  2. Acta Orthop Belg. 2015 Sep;81(3):530-7 - PubMed
  3. Orthop Surg. 2016 May;8(2):246-52 - PubMed

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