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Rev Med Interne. 2014 Jun;35(6):399-402. doi: 10.1016/j.revmed.2013.06.004. Epub 2013 Jul 23.

[Osteolytic bone lesion: vertebral alveolar echinococcosis in a patient with splenectomy].

[Article in French]

Author information

1
Laboratoire de parasitologie-mycologie, CHU Gabriel-Montpied, 58, rue Montalembert, 63003 Clermont-Ferrand cedex 1, France.
2
Service de rhumatologie, CHU Gabriel-Montpied, 63003 Clermont-Ferrand, France.
3
Service de maladies infectieuses, CHU Gabriel-Montpied, 63003 Clermont-Ferrand, France.
4
Laboratoire de parasitologie-mycologie, CHU Gabriel-Montpied, 58, rue Montalembert, 63003 Clermont-Ferrand cedex 1, France. Electronic address: ppoirier@chu-clermontferrand.fr.

Abstract

INTRODUCTION:

Osteolytic lesions are not always related to malignancies.

CASE REPORT:

We report an 82-year-old woman suffering from subcostal pain. The patient underwent a splenectomy 40 years previously. CT-scan and MRI highlighted a calcified hepatic lesion associated with an osteolytic lesion of the L5 vertebra. Osteolytic and hepatic lesions were attributed to an alveolar echinococcosis based on positive serological assays.

CONCLUSION:

To our knowledge, this is the first report of an alveolar echinococcosis in a patient with splenectomy and secondary lesions. We suggest that the splenectomy could have promoted the parasite spreading to vertebra.

KEYWORDS:

Alveolar echinococcosis; Bone lesion; Echinococcus multilocularis; Localisation osseuse; Splenectomy; Splénectomie; Échinococcose alvéolaire

PMID:
23890484
DOI:
10.1016/j.revmed.2013.06.004
[Indexed for MEDLINE]

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