primary extrahepatic alveolar echinococcosis of the lumbar spine and the psoas muscle原发性肝外肺泡包虫病的腰椎和腰大肌肌.pdfVIP

Nell et al. Annals of Clinical Microbiology and Antimicrobials 2011, 10:13 /content/10/1/13 CASE REPORT Open Access Primary extrahepatic alveolar echinococcosis of the lumbar spine and the psoas muscle 1 1 1 1 2 Manuel Nell , Rainer H Burgkart , Guntmar Gradl , Rüdiger von Eisenhart-Rothe , Christoph Schaeffeler , 3 4 1 1* Dennis Trappe , Clarissa Prazeres da Costa , Reiner Gradinger and Chlodwig Kirchhoff Abstract Alveolar echinococcosis (AE) of human being caused by Echinococcus multilocularis is a rare but important zoonosis especially in tempered zones of middle Europe and Northern America with endemic character in many countries. Due to the long incubation period, various clinical manifestations, critical prognosis, and outcome AE presents a serious and severe disease. The primary focus of infection is usually the liver. Although secondary affection of visceral organs is possible extrahepatic AE is highly uncommon. Moreover, the involvement of bone and muscle presents with an even lower incidence. In the literature numerous cases on hepatic AE have been reported. However, extrahepatic AE involving bones and/or muscles was described very rarely. We report a case of an 80-year-old man with primary extrahepatic alveolar Echinococcosis of the lumbar spine and the psoas muscle. The etiology, diagnosis, differential diagnoses, treatment options and outcome of this rare disease are discussed in context with the current literature. Introduction infiltrating and metastasizing character, AE is clinically Two types of Echinoc