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Skeletal Radiology

, Volume 26, Issue 5, pp 289–292 | Cite as

Bone and soft tissue manifestations of alveolar echinococcosis

  • E. M. Merkle
  • E. Kramme
  • J. Vogel
  • S. Krämer
  • M. Schulte
  • S. Usadel
  • P. Kern
  • H.-J. Brambs
ARTICLE

Abstract

Objective. The present study demonstrates the osseous and soft tissue manifestations of alveolar echinococcosis (AE). Patients. We report on eight patients with AE with bone or soft tissue involvement confirmed at biopsy or needle cytology. Results. All eight patients showed hepatic involvement. Four exhibited infiltration of the spine as a result of direct spread of the hepatic primary lesion; distant metastases were observed in only three of these patients. Calcifications, which are typical for hepatic manifestations of the disease, were observed in soft tissue in only two of eight cases (25%); we observed no instances of endovesicular daughter cysts. Conclusion. AE manifests itself in the vertebral column as a form of spondylitis and in soft tissue presents similar to an abscess. Since in most of these cases spread of the disease per continuitatem from the liver is present, the diagnosis is easily made from the characteristic hepatic findings.

Key words Echinococcosis Bone Soft tissue Liver 

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Copyright information

© International Skeletal Society 1997

Authors and Affiliations

  • E. M. Merkle
    • 1
  • E. Kramme
    • 2
  • J. Vogel
    • 1
  • S. Krämer
    • 1
  • M. Schulte
    • 3
  • S. Usadel
    • 2
  • P. Kern
    • 2
  • H.-J. Brambs
    • 1
  1. 1.Universitätsklinik für Radiologie I, Steinhövelstrasse 9, D-89075 Ulm, GermanyDE
  2. 2.Section for Infectious Diseases, University of Ulm, Ulm, GermanyDE
  3. 3.Department of Traumatology, Hand and Reconstructive Surgery, University of Ulm, Ulm, GermanyDE

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