Abstract
Hydatid disease is a zoonotic infectious disease for which there are known treatment procedures and effective antibiotics; however, there are resistant cases that do not respond to medication or surgery. We report a case diagnosed as hydatid disease of the chest wall and treated with radiation therapy (RT) after medical and surgical therapy had failed. In conclusion, RT represents an alternative treatment modality in resistant cases.
Zusammenfassung
Die Echinokokkose ist eine infektiöse Zoonose, für die bekannte Therapieverfahren und wirksame Antibiotika vorhanden sind; allerdings gibt es resistente Fälle, die weder auf die Medikation noch auf eine Operation ansprechen. Hier wird über einen Fall berichtet, bei dem die Diagnose einer Echinokokkose der Brustwand gestellt wurde und nach Versagen der medikamentösen und chirurgischen Therapie eine Strahlentherapie (RT) erfolgte. Es stellte sich heraus, dass die RT eine alternative Behandlungsmodalität in therapieresistenten Fällen darstellt.
References
Ali R, Ozkalemkas F, Ozkocaman V (2005) Hydatid disease in acute leukemia: effect of anticancer treatment on echinococcosis. Microbes Infect 7:1073–1076
Eckert J, Deplazes P (2004) Biological, epidemiological, and clinical aspects of echinococcosis, a zoonosis of increasing concern. Clin Microbiol Rev 17:107–135
Romig T (2003) Epidemiology of echinococcosis. Langenbecks Arch Surg 388:209–217
Erdem LO, Erdem CZ, Karloğuz K et al (2004) Radiological aspects of abdominal hydatidosis in children: a study of 31 cases in Turkey. Clin Imaging 28:196–200
WHO Informal Working Group (2003) International classification of ultrasound images in cystic echinococcosis for application in clinical and field epidemiological settings. Acta Trop 85:253–261
Kern P (2003) Echinococcosis granulosus infection: clinical presentation, medical treatment and outcome. Langenbecks Arch Surg 388:413–420
Karaoglanoglu M, Akıncı OF, Bozkurt S et al (2004) Effect of different pharmacologic and chemical agents on the integrity of hydatid cyst membranes. AJR Am J Roentgenol 183:465–469
Agaoglu N, Türkyılmaz S, Arslan MK (2003) Surgical treatment of hydatid cysts of the liver. Br J Surg 90:1536–1541
Pohle S, Ernst R, Mackenzie C et al (2011) Echinococcus multilocularis: the impact of ionizing radiation on metacestodes. Exp Parasitol 127:127–134
Freidberg EC (2003) DNA damage and repair. Nature 421:438–440
Schmid M, Pendl G, Samonigg H et al (1998) Gamma knife radiosurgery and albendazole for cerebral alveolar hydatid disease. Clin Infect Dis 26:1379–1382
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ulger, S., Barut, H., Tunc, M. et al. Radiation therapy for resistant sternal hydatid disease. Strahlenther Onkol 189, 508–509 (2013). https://doi.org/10.1007/s00066-013-0322-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00066-013-0322-5