An Unusual Case of Extrapulmonary Hydatid Cyst Masquerading as a Mediastinal Tumor

Hans, Bandhul; Gupta, Kamesh; Kalra, Kshitij; Suri, Jagdish Chander

doi:10.7759/cureus.5612

Cited by 6 publications

(4 citation statements)

References 6 publications

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“…Common laboratory markers used in infections such as C-reactive protein (CRP), estimated sedimentation rate (ESR) and white blood cell (WBC) count are often within normal range and they are variable findings. 36 , 46 , 50 , 61 Eosinophilia, commonly seen in parasitic infections is not a consistent or reliable finding. 2 , 46 , 62 ELISA and Western Blot are the most commonly used serologic assays for echinococcal antibody detection in liver disease with an 80–100% sensitivity and 88–96% specificity.…”

Section: Diagnosismentioning

confidence: 97%

Echinococcosis of the spine

et al. 2021

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Echinococcosis or hydatid disease affecting the spine is an uncommon manifestation of Echinococcus granulosus infection of the spine. More commonly found in endemic areas, it causes significant morbidity and mortality as it grows slowly and produces symptoms mainly by compressing the spinal cord. As diagnostic methods are non-specific, diagnosis and management are usually delayed until the disease is advanced, thereby therapy is usually unlikely. Treatment is usually surgical, aiming at cyst excision, spinal cord decompression and spinal stabilization. This article summarizes the clinical findings of echinococcosis of the spine, discusses the specific laboratory and diagnostic findings, lists the current treatment options, and reviews the patients’ outcomes. The aim is to prompt clinicians to be aware of the possibility of echinococcosis as a possible diagnosis in endemic areas. Cite this article: EFORT Open Rev 2021;6:288-296. DOI: 10.1302/2058-5241.6.200130

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Section: Diagnosismentioning

confidence: 97%

Echinococcosis of the spine

et al. 2021

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“…Ribs (Hans et al, 2019;Kassimi et al, 2021;Agnihotri et al, 2017) Resection of cyst lesion ABZ Recurred after 6 months Lumbar vertebra (Staouni et al, 2020;Tian et al, 2020) Resection of cyst lesion; washing with hydrogen peroxide and 5% hypertonic saline; spinal fusion and fixation ABZ (10-15 mg/kg/day, for at least 6 months)…”

Section: Surgerymentioning

confidence: 99%

Progress of research on the diagnosis and treatment of bone cystic echinococcosis

Meng,

Ren,

Xiao

et al. 2023

Front. Microbiol.

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Bone cystic echinococcosis (CE) is one of the most complex and dangerous of all echinococcoses. The lack of typical imaging features and clinical manifestations makes diagnosis and treatment of this disease difficult. X-ray and computed tomography (CT) images of bone CE are similar to those of bone cysts, giant-cell bone tumors, and bone metastases, but magnetic resonance imaging (MRI) shows good diagnostic value due to excellent soft-tissue imaging features. Serological tests cannot be used as a definitive diagnostic method for bone CE due to cross-reactivity, which can lead to false-positive or false-negative results. The development of novel antigens can open new frontiers in the diagnosis of the disease. Currently, views conflict on how to diagnose and treat bone CE. Both surgical and pharmacological treatments can be used, but determining which is appropriate is difficult due to the different sites and clinical manifestations of bone CE. Radical resection is not indicated for large-bone injuries, and Pharmacotherapy becomes important. This article reviews the progress of research into the pathogenesis and clinical manifestations of, and diagnostic strategies and treatment options for, bone CE. We aimed to provide a reference for clinical diagnosis and -treatment options.

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“…Drug treatment is appropriate for one month with albendazole or three months with mebendazole for incidental cyst rupture to decrease the risk of secondary echinococcosis from the seeding of protoscolices in the abdominal cavity. Albendazole can also be provided to patients that have not recovered after the surgery; the drug does not cure the disease but enhances the quality of life and possibilities of survival in those patients and therefore is the primary prescription in hydatid disease (Hans et al, 2019). During follow-up, laboratory monitoring, including complete blood count (CBC) and liver function tests (LFT), were surveyed every fifteen days for three months and onetime in three months for a year.…”

Section: Medical Science L Case Reportmentioning

confidence: 99%

Case presentation of axillary swelling as hydatid cyst

Jain¹,

Jain²,

Chakole³

2022

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Hydatid disease is induced most commonly due to infestation of the parasitic organism, Echinococcus granulosus. Lack of personal and communal hygiene increases the chances of contracting this infection. Zoonotic organisms are typically seen in the liver; they occasionally move to the brain, lungs and kidneys; they are seldom found in muscle, eye, vagina, bone or heart. A 36year-old male patient was shown predominantly with right axillary swelling for three months which was painless and gradually progressive in nature. On investigations by ultrasonography (USG) and fine needle aspiration cytology (FNAC), it was diagnosed as a case of a hydatid cyst of muscle. The infection was treated with the administration of antiparasitic therapy combined with total cystectomy and instilled scolicidal agents with follow-up monitoring with the surgeons.

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An Unusual Case of Extrapulmonary Hydatid Cyst Masquerading as a Mediastinal Tumor

Cited by 6 publications

References 6 publications

Echinococcosis of the spine

Echinococcosis of the spine

Progress of research on the diagnosis and treatment of bone cystic echinococcosis

Case presentation of axillary swelling as hydatid cyst

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