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CC BY-NC-ND 4.0 · Asian J Neurosurg 2021; 16(04): 886-889
DOI: 10.4103/ajns.ajns_199_21
Case Report

Hydatid cyst of dorsal spine masquerading as tubercular infection: A case report and review of literature

Gurudip Das
Department of Orthopedics, All India Institute of Medical Sciences, Bhubaneswar, Odisha
,
Saurav Nanda
Department of Orthopedics, All India Institute of Medical Sciences, Bhubaneswar, Odisha
,
Nabin Sahu
Department of Orthopedics, All India Institute of Medical Sciences, Bhubaneswar, Odisha
,
Doki Kumar
Department of Orthopedics, All India Institute of Medical Sciences, Bhubaneswar, Odisha
,
Bishnu Patro
Department of Orthopedics, All India Institute of Medical Sciences, Bhubaneswar, Odisha
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Hydatid cyst disease of the spine is rare, and only a few are reported in the scientific literature. This infection is caused by the larvae of Echinococcus granulosus cestode. The presentation is usually late because the patient remains asymptomatic for a longer duration after the infection. The initial form of treatment is always surgical in a symptomatic patient for excision of the diseased tissue. A 35-year-old male presented in the outpatient department with a chief complaint of mid-back pain and intermittent history of fever following his back surgery for 4 years. The patient has taken presumptive treatment for tuberculosis before presenting it to us. Radiological investigations dictate the presence of hydatid cyst in the D4 vertebra. Intact cysts were excised with perioperative albendazole coverage. The patient was mobilized on postoperative day-1 with Taylor's brace, and the brace was continued for 6 weeks. The patient was followed up at regular intervals for 1 year, and no recurrence was found. Hydatid cyst disease in the spine is a rare disease but associated with high morbidity despite significant advances in diagnostic imaging techniques and surgical treatment. For a provisional diagnosis, magnetic resonance imaging is the investigation of choice. Surgical decompression is the main stray of treatment along with antihelminthic therapy. A close follow-up is required after the initial treatment to find the recurrence at the earliest.

Key-words:

Decompression - dorsal spine - hydatid cyst

Financial support and sponsorship

Nil.




Publication History

Received: 11 May 2021

Accepted: 13 July 2021

Article published online:
16 August 2022

© 2021. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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