Multiple unusual locations of hydatid cysts including bladder, psoas muscle and liver

Feki, Wassim; Ghozzi, Samir; Khiari, Ramzi; Jilani, Ghorbel; Elarbi, Houssem; Khouni, H.; Raïs, N. Ben

doi:10.1016/j.parint.2007.07.003

Cited by 24 publications

(20 citation statements)

References 11 publications

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“…Alternatively, muscular involvement may be incidentally detected on radiographic studies showing a calcified Echinococcus cyst (34,202). The thigh is a common location for cysts, but paraspinal, pelvic, deltoid, and psoas locations have also been described (73,202,230). Some cases were initially misdiagnosed as tumors (11,107).…”

Section: Other Parasitesmentioning

confidence: 99%

Bacterial, Fungal, Parasitic, and Viral Myositis

2008

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SUMMARY Infectious myositis may be caused by a broad range of bacterial, fungal, parasitic, and viral agents. Infectious myositis is overall uncommon given the relative resistance of the musculature to infection. For example, inciting events, including trauma, surgery, or the presence of foreign bodies or devitalized tissue, are often present in cases of bacterial myositis. Bacterial causes are categorized by clinical presentation, anatomic location, and causative organisms into the categories of pyomyositis, psoas abscess, Staphylococcus aureus myositis, group A streptococcal necrotizing myositis, group B streptococcal myositis, clostridial gas gangrene, and nonclostridial myositis. Fungal myositis is rare and usually occurs among immunocompromised hosts. Parasitic myositis is most commonly a result of trichinosis or cystericercosis, but other protozoa or helminths may be involved. A parasitic cause of myositis is suggested by the travel history and presence of eosinophilia. Viruses may cause diffuse muscle involvement with clinical manifestations, such as benign acute myositis (most commonly due to influenza virus), pleurodynia (coxsackievirus B), acute rhabdomyolysis, or an immune-mediated polymyositis. The diagnosis of myositis is suggested by the clinical picture and radiologic imaging, and the etiologic agent is confirmed by microbiologic or serologic testing. Therapy is based on the clinical presentation and the underlying pathogen.

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Section: Other Parasitesmentioning

confidence: 99%

Bacterial, Fungal, Parasitic, and Viral Myositis

2008

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“…This value is similar to those reported in Iran (Pezeshki et al, 2007;Sadrieh et al, 1967), Jordan (Amr et al, 1994) and Turkey (Çöl et al, 2003). Urinary tract involvement is not common, corresponding to only 2 -4 % of all patients with CE (Feki et al, 2008). Renal hydatidosis is usually single and included 2 -3 % of all cases (Kireşi et al, 2003).…”

Section: Discussionmentioning

confidence: 99%

“…This is close to the rate reported from Jordan by Amr et al (1994), who reported 10 cases of renal hydatid deases (3.5 %) out of a total of 306. Among the unusual presentations of the echinococcal cyst, the occurrence of bladder hydatid cysts is exceptional with only a few case reports found in the literature (Feki et al, 2008;Sallami et al, 2005;Cherkaoui et al, 2002;Deodhar et al, 1986;Fuloria et al, 1975). It is observed approximately in 0.2 -0.5 % of cases (Amr et al, 1994, Feki et al, 2008.…”

Section: Discussionmentioning

confidence: 99%

“…Among the unusual presentations of the echinococcal cyst, the occurrence of bladder hydatid cysts is exceptional with only a few case reports found in the literature (Feki et al, 2008;Sallami et al, 2005;Cherkaoui et al, 2002;Deodhar et al, 1986;Fuloria et al, 1975). It is observed approximately in 0.2 -0.5 % of cases (Amr et al, 1994, Feki et al, 2008. In our series, hydatid disease of bladder wall showed 1 patient of all cases.…”

Section: Discussionmentioning

confidence: 99%

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Unusual localizations of human hydatid disease in Hamedan province, west of Iran

Ahmadi

Hamidi

2010

Helminthologia

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94 SummaryCystic echinococcosis (CE) is endemic in many parts of Iran. It may develop in almost any part of the human body, though the location is mostly hepatic and followed by pulmonary. This study was carried out on the 24 patients diagnosed with unusual localizations of hydatidosis among the patients admitted to the university hospitals in Hamedan province, west of Iran, during 14-year period. The cases were aged 6 -73 years, the majority being aged 40 -59 years (33.3 %). Ten of the patients diagnosed with unusually located hydatid disease were men, fourteen were women. The over-representation of housewives (50.0 %) and followed by farmers (20.8 %) among the cases was significant. Similarly, rural dwellers were also over-represented among the cases (54.2 % vs. 45.8 %). Most (19 case) of the cases had been diagnosed just by ultrasonography, but 3 case had only been diagnosed by computed tomographic (CT) scans, and another 2 had had both ultrasonography and CT scans. Spleen and kidneys, followed by abdominal/peritoneal cavity, were the organs where hydatid disease was most frequently observed after the liver and lung. The splenic cysts were solitary in 4 cases, associated with a hepatic cyst in 1 and with pelvic and abdominal wall cysts in 1. The renal cysts were usually isolated without any other organ involvement, and there was only one case of associated with hydatid disease in liver. In addition, findings in brain, mesenterium, breast, choledochus, bladder wall and inguinal area are also discussed. These results confirm that CE should be considered in the differential diagnosis of any cystic mass in all anatomic locations (including unusual localizations), especially when occurring in areas where the disease is endemic.

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“…AgB8/2 antigen has the highest diagnostic sensitivity (84-93.1%) and specificity (98-99.5%) [7,60,61]. Serology has a definite role in follow up as the titres should fall after definitive and successful treatment [62].…”

Section: Microbiological Diagnosismentioning

confidence: 99%