AI Article Synopsis

  • Lumbosacral hydatid disease (LHD) is a rare illness that affects the lower part of the spine and can be caused by a parasite.
  • The study looked at 16 patients from 2000 to 2023, focusing on how they were diagnosed and treated over an average of 11 years.
  • Most patients had surgery, but many experienced problems again after their operations, showing that treating LHD can be very challenging.

Article Abstract

Objective: Lumbosacral hydatid disease (LHD), a rare skeletal parasitic disease that involves the lumbosacral region. In this study, we summarized the diagnostic and therapeutic procedures for patients with LHD to provide insights into managing this rare disease.

Methods: Between 2000 and 2023, 16 patients diagnosed with LHD were retrospectively analyzed. Each patient's medical records and follow-up details, were carefully assessed. The average follow-up period was 11.25 ± 6.41 years, providing valuable insights into treatment durability and effectiveness.

Results: The diagnosis was confirmed via imaging, serological tests, and pathological examination. The clinical symptoms included lumbago with lower limb numbness (25 %) and urinary and fecal incontinence (25 %). All patients underwent surgery, with an average of 2.6 surgeries per patient. Thirteen (81.25 %) patients experienced recurrence postoperatively.

Conclusion: LHD is a severe and complex skeletal parasitic disease with significant diagnostic and therapeutic challenges. Effective management requires a comprehensive strategy involving surgery and additional therapies.

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Source
http://dx.doi.org/10.1016/j.diagmicrobio.2024.116542DOI Listing

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Article Synopsis
  • Lumbosacral hydatid disease (LHD) is a rare illness that affects the lower part of the spine and can be caused by a parasite.
  • The study looked at 16 patients from 2000 to 2023, focusing on how they were diagnosed and treated over an average of 11 years.
  • Most patients had surgery, but many experienced problems again after their operations, showing that treating LHD can be very challenging.
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Magnetic resonance imaging features and classification of intraspinal echinococcosis.

J Orthop

September 2024

The Fourth Affiliated Hospital of Xinjiang Medical University, Medical Imaging Center, Urumqi, Xinjiang, 830000, PR China.

Objective: This study aimed to investigate the magnetic resonance imaging (MRI) features and classification of echinococcosis of the spinal canal.

Methods: The clinical manifestations and MRI findings and classification of 19 patients diagnosed with intraspinal echinococcosis over 10 years (2011-2020) were retrospectively analyzed.

Results: The mean age of the nine males and 10 females was 39 years (range 28-65 years).

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Hydatid disease is caused by the larvae of the parasite Echinococcus granulosus and, less commonly, Echinococcus multilocularis in the endemic regions. A hydatid cyst of Echinococcus granulosus commonly develops in the liver and lungs of the affected individual and rarely occurs in the brain, bones, and heart. The spinal hydatidosis comprises 50% of the cases affecting the bones, which usually leads to severe morbidities.

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Purpose: Echinococcosis remains a major economic and severe public health problem in endemic areas. Bone echinococcosis is rare, and the vertebra and pelvis are the most common sites of echinococcosis involving the skeletal. Because of the clinical severe symptoms and high recurrence rate, it brings excellent trouble to patients.

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