Zusammenfassung
Die Echinokokkose mit humanpathogener Relevanz ist eine in Europa seltene Erkrankung.
Die vertebrale Manifestation dieser Zoonose liegt bei einem Prozent der Fälle. Die
intraspinale Echinokokkose tritt weltweit nur sporadisch auf, wobei sich die extradurale
häufiger als die intradurale manifestiert. Anhand einer aktuellen Kasuistik werden
die diagnostischen und insbesondere die spezifischen therapeutischen Konsequenzen
und Besonderheiten dieser außerordentlich seltenen Entität dargestellt.
Abstract
Echinococcosis of human pathogenetic relevance is a very rare disease in Europe. The
vertebral manifestation of the latter zoonosis constitutes one percent of all cases.
Intraspinal echinococcosis appears worldwide just sporadically, whereas extradurally
located cysts are identified more often than intradurally located ones. The diagnostic
and specific therapeutic consequences of this very seldom entity are discussed based
on a case report.
Schlüsselwörter
Echinokokkose - Wirbelsäule - intraspinal - Hydatiden
Key words
Echinococcosis - spine - intraspinal - hydatid
Literatur
- 1
Garippa G.
Updates on cystic echinococcosis (CE) in Italy.
Parassitologia.
2006;
48
57-59
- 2
Eckert J, Deplazes P.
Biological, epidemiological, and clinical aspects of echinococcosis, a zoonosis of
increasing concern.
Clin Microbiol Rev.
2004;
17
107-35
- 3
Combalia A. et al .
Hydatid cyst of gluteus muscle. Two cases. Review of the literature.
Joint Bone Spine.
2005;
72
430-436
- 4 Hof H, Müller R L, Dörries R. Mikrobiologie. Stuttgart; Georg Thieme Verlag 2000
- 5
Sapkas G S, Machinis T G, Chloros G D. et al .
Spinal hydatid disease, a rare but existent pathological entity: case report and review
of the literature.
South Med J.
2006;
99
178-183
- 6
Kazakos C J, Galanis V G, Verettas D, Polychronidis A, Simopoulos C.
Primary hydatid disease in femoral muscles.
J Int Med Res.
2005;
33
703-706
- 7
Braithwaite P A, Lees R F.
Vertebral hydatid disease: radiological assessment.
Radiology.
1981;
140
763-766
- 8
Morris D L, Dykes P W, Marriner S. et al .
Albendazole: objective evidence of response in human hydatid disease.
JAMA.
1985;
12
2053-2057
- 9
Kern P.
Echinococcus granulosus infection: clinical presentation, medical treatment and outcome.
Langenbecks Arch Surg.
2003;
388
413-420
- 10
Smego Jr R A, Bhatti S, Khaliq A A. et al .
Percutaneous aspiration-injection reaspiration drainage plus albendazole or mebendazole
for hepatic cystic echinococcosis: a meta-analysis.
Clin Infect Dis.
2003;
37
1073-1083
- 11 Morris D L, Richards K S. Hydatid Disease. Current Medical and Surgical Management. Oxford,
United Kingdom; Butterworth-Heinemann Ltd. 1992
- 12
Filice C, Brunetti E.
Use of PAIR in human cystic echinococcosis.
Acta Trop.
1997;
64
95-107
- 13
Brunetti E, Filice C.
Radiofrequency thermal ablation of echinococcal liver cysts.
Lancet.
2001;
358
1464
- 14
Kern P, Reuter S, Kratzer W, Buttenschoen K.
[Treatment of cystic echinococcosis].
Dtsch Med Wochenschr.
2001;
126
51-54
- 15
World Health Organization .
Guidelines for treatment of cystic and alveolar echinococcosis.
WHO.
1996;
74
231-242
- 16
Ferrandez H D, Gomez-Castresana F, Lopez-Duran L, Mata P, Brandau D, Sanchez-Barba A.
Osseous hydatidosis.
J Bone Joint Surg [Am].
1978;
60
685-690
- 17
Islekel S, Zileli M, Ersahin Y.
Intradural spinal hydatid cysts.
Eur Spine J.
1998;
7
162-164
- 18
Kammerer W S, Schantz P M.
Echinococcal disease.
Infect Dis Clin North Am.
1993;
7
605-618
- 19
Kahilogullari G, Tuna H, Aydin Z, Colpan E, Egemen N.
Primary intradural extramedullary hydatid cyst.
Am J Med Sci.
2005;
329
202-204
- 20
Marani S D, Canossi G C, Nicoli F A. et al .
Hydatid disease: MR imaging study.
Radiology.
1990;
175
701-706
- 21
Prabhakar M M, Acharya A J, Modi D R, Jadav B.
Spinal hydatid disease: a case series.
J Spinal Cord Med.
2005;
28
426-431
- 22
Mazyad M A, Morsy T A, Habib K S.
Vertebral unilocular hydatidosis in a shepherd and his wife.
J Egypt Soc Parasitol.
1999;
29
547-550
- 23
Arazi M, Erikoglu M, Odev K, Memik R, Ozdemir M.
Primary echinococcus infestation of the bone and muscles.
Clin Orthop Relat Res.
2005;
432
234-241
- 24
Mattern C, Gardner M, Grose A, Helfet D.
Case report: Echinococcus disease of the bone presenting as a femoral shaft nonunion.
Clin Orthop Relat Res.
2007;
458
220-225
- 25
Khazim R, Fares Y, Heras-Palou C, Ruiz Barnes P.
Posterior decompression of spinal hydatidosis: long term results: Fundacion Jimenez
Diaz, Madrid, Spain.
Clin Neurol Neurosurg.
2003;
105
209-214
Dr. med. Christian Spies
Orthopädische Universitätsklinik der RWTH Aachen
Pauwelsstraße 30
52074 Aachen
eMail: cspies@ukaachen.de
