HYDATID DISEASE IN MISCULOSCELETAL TISSUES: DIAGNOSIS AND TREATMENT

Slavko Jovanoski; Milena Bogojevska Doksevska; Magdalena Manasieva; Stefan Bakalovski; Nikola Nikolovski; Daniel Gjorgjioski; Dimitar Angelevski; Sanja Bede Stevoska

Slavko Jovanoski Special Hospital for Orthopedic surgery and traumatology "St Erazmo", Ohrid, North Macedonia
Milena Bogojevska Doksevska University Clinic for Orthopedic Surgery ,Skopje, North Macedonia
Magdalena Manasieva General Hospital in Kocani, North Macedonia
Stefan Bakalovski Special Hospital for Orthopedic surgery and traumatology "St Erazmo", Ohrid, North Macedonia
Nikola Nikolovski University Clinic for Orthopedic Surgery ,Skopje, North Macedonia
Daniel Gjorgjioski Health Center Skopje, North Macedonia
Dimitar Angelevski Health Center Skopje, North Macedonia
Sanja Bede Stevoska Special Hospital for Orthopedic surgery and traumatology "St Erazmo", Ohrid, North Macedonia

Abstract

Musculoskeletal hydatidosis is a rare occurrence of hydatid disease. Anatomical and clinical
changes are, however, peculiar to this localization. Musculoskeletal hydatid disease is defined as
development of multiple cysts within bone or soft tissue, that are the larval form of
the tapeworm Echinococcus granulosus. Bone cysts account for only 0.5â€“2.5% of all hydatid cysts in
humans. We present a case of 39-years-old male, presented at our clinic with one month duration of
pain in his right calf. Previously, there was asymptomatic swelling that existed one year, but as it got
painful, the patient decided to seek medical help. Bone tumors, tumor-like conditions, and specific and
nonspecific infections should be considered as a possible differential diagnosis. The final diagnosis depends on histology. The treatment depends on surgical excision. Recurrence is common, particularly at sites that are difficult to access.

Keywords: Echinococcosis, Hidatid bone disease, tumor-like conditions.

https://doi.org/10.55302/JMS2361116j

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