Asian Spine J.  2013 Mar;7(1):39-43. 10.4184/asj.2013.7.1.39.

Recurrent Echinococcal Infection of the Lumbar Spine: An 11 Year Follow-up

• Gouse M
• Amritanand R
• Venkatesh
• Sundararaj GD

• KMID: 2270448
• DOI: http://doi.org/10.4184/asj.2013.7.1.39

Abstract

Spinal hydatid cyst is a rare occurrence in non endemic countries. We present a case of recurrent lumbar hydatid disease in a 21-year-old male who following initial treatment had a good functional outcome and healing for 8 years, following which he came back with complaints of low back ache and neurological deficit. Patient underwent a second surgery with global debridement of L3-L5 vertebrae followed by medical management for two years. He had a good surgical outcome with recovery from the neurological deficit. Patient has returned to his routine activities and is being reviewed every year; there is no evidence of recurrence in the past 3 years. To the best of our knowledge recurrence after 8 years of initial treatment, followed by good clinical and radiological outcome for 3 years after surgery and treatment of the recurrence has not been reported in literature.

Keyword

Echinococcosis; Lumbar vertebrae; Albendazole

MeSH Terms

Albendazole
Debridement
Echinococcosis
Follow-Up Studies
Humans
Low Back Pain
Lumbar Vertebrae
Male
Porphyrins
Recurrence
Spine
Albendazole
Porphyrins