Skeletal Manifestations of Hydatid Disease in Serbia: Demographic Distribution, Site Involvement, Radiological Findings, and Complications
Abstract
Although Serbia is recognized as an endemic country for echinococcosis, no information about precise incidence in humans has been available. The aim of this study was to investigate the skeletal manifestations of hydatid disease in Serbia. This retrospective study was conducted by reviewing the medical database of Institute for Pathology (Faculty of Medicine in Belgrade), a reference institution for bone pathology in Serbia. We reported a total of 41 patients with bone cystic echinococcosis (CE) during the study period. The mean age of 41 patients was 40.9 +/- 18.8 years. In 39% of patients, the fracture line was the only visible radiological sign, followed by cyst and tumefaction. The spine was the most commonly involved skeletal site (55.8%), followed by the femur (18.6%), pelvis (13.9%), humerus (7.0%), rib (2.3%), and tibia (2.3%). Pain was the symptom in 41.5% of patients, while some patients demonstrated complications such as paraplegia (22.0%), pathologic fracture (48.8%), and s...coliosis (9.8%). The pathological fracture most frequently affected the spine (75.0%) followed by the femur (20.0%) and tibia (5.0%). However, 19.5% of patients didn't develop any complication or symptom. In this study, we showed that bone CE is not uncommon in Serbian population. As reported in the literature, therapy of bone CE is controversial and its results are poor. In order to improve the therapy outcome, early diagnosis, before symptoms and complications occur, can be contributive.
Keywords:
Echinococcus granulosus / bone / echinococcosis / pathological fracture / pain / SerbiaSource:
Korean Journal of Parasitology, 2013, 51, 4, 453-459Publisher:
- Korean Soc Parasitology, Seoul Natl Univ Coll Medi, Seoul
Funding / projects:
DOI: 10.3347/kjp.2013.51.4.453
ISSN: 0023-4001
PubMed: 24039289
WoS: 000324602900009
Scopus: 2-s2.0-84884148023
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Institution/Community
Stomatološki fakultetTY - JOUR AU - Bracanović, Đurđa AU - Đurić, Marija AU - Sopta, Jelena AU - Đonić, Danijela AU - Lujić, Nenad PY - 2013 UR - https://smile.stomf.bg.ac.rs/handle/123456789/1831 AB - Although Serbia is recognized as an endemic country for echinococcosis, no information about precise incidence in humans has been available. The aim of this study was to investigate the skeletal manifestations of hydatid disease in Serbia. This retrospective study was conducted by reviewing the medical database of Institute for Pathology (Faculty of Medicine in Belgrade), a reference institution for bone pathology in Serbia. We reported a total of 41 patients with bone cystic echinococcosis (CE) during the study period. The mean age of 41 patients was 40.9 +/- 18.8 years. In 39% of patients, the fracture line was the only visible radiological sign, followed by cyst and tumefaction. The spine was the most commonly involved skeletal site (55.8%), followed by the femur (18.6%), pelvis (13.9%), humerus (7.0%), rib (2.3%), and tibia (2.3%). Pain was the symptom in 41.5% of patients, while some patients demonstrated complications such as paraplegia (22.0%), pathologic fracture (48.8%), and scoliosis (9.8%). The pathological fracture most frequently affected the spine (75.0%) followed by the femur (20.0%) and tibia (5.0%). However, 19.5% of patients didn't develop any complication or symptom. In this study, we showed that bone CE is not uncommon in Serbian population. As reported in the literature, therapy of bone CE is controversial and its results are poor. In order to improve the therapy outcome, early diagnosis, before symptoms and complications occur, can be contributive. PB - Korean Soc Parasitology, Seoul Natl Univ Coll Medi, Seoul T2 - Korean Journal of Parasitology T1 - Skeletal Manifestations of Hydatid Disease in Serbia: Demographic Distribution, Site Involvement, Radiological Findings, and Complications VL - 51 IS - 4 SP - 453 EP - 459 DO - 10.3347/kjp.2013.51.4.453 ER -
@article{ author = "Bracanović, Đurđa and Đurić, Marija and Sopta, Jelena and Đonić, Danijela and Lujić, Nenad", year = "2013", abstract = "Although Serbia is recognized as an endemic country for echinococcosis, no information about precise incidence in humans has been available. The aim of this study was to investigate the skeletal manifestations of hydatid disease in Serbia. This retrospective study was conducted by reviewing the medical database of Institute for Pathology (Faculty of Medicine in Belgrade), a reference institution for bone pathology in Serbia. We reported a total of 41 patients with bone cystic echinococcosis (CE) during the study period. The mean age of 41 patients was 40.9 +/- 18.8 years. In 39% of patients, the fracture line was the only visible radiological sign, followed by cyst and tumefaction. The spine was the most commonly involved skeletal site (55.8%), followed by the femur (18.6%), pelvis (13.9%), humerus (7.0%), rib (2.3%), and tibia (2.3%). Pain was the symptom in 41.5% of patients, while some patients demonstrated complications such as paraplegia (22.0%), pathologic fracture (48.8%), and scoliosis (9.8%). The pathological fracture most frequently affected the spine (75.0%) followed by the femur (20.0%) and tibia (5.0%). However, 19.5% of patients didn't develop any complication or symptom. In this study, we showed that bone CE is not uncommon in Serbian population. As reported in the literature, therapy of bone CE is controversial and its results are poor. In order to improve the therapy outcome, early diagnosis, before symptoms and complications occur, can be contributive.", publisher = "Korean Soc Parasitology, Seoul Natl Univ Coll Medi, Seoul", journal = "Korean Journal of Parasitology", title = "Skeletal Manifestations of Hydatid Disease in Serbia: Demographic Distribution, Site Involvement, Radiological Findings, and Complications", volume = "51", number = "4", pages = "453-459", doi = "10.3347/kjp.2013.51.4.453" }
Bracanović, Đ., Đurić, M., Sopta, J., Đonić, D.,& Lujić, N.. (2013). Skeletal Manifestations of Hydatid Disease in Serbia: Demographic Distribution, Site Involvement, Radiological Findings, and Complications. in Korean Journal of Parasitology Korean Soc Parasitology, Seoul Natl Univ Coll Medi, Seoul., 51(4), 453-459. https://doi.org/10.3347/kjp.2013.51.4.453
Bracanović Đ, Đurić M, Sopta J, Đonić D, Lujić N. Skeletal Manifestations of Hydatid Disease in Serbia: Demographic Distribution, Site Involvement, Radiological Findings, and Complications. in Korean Journal of Parasitology. 2013;51(4):453-459. doi:10.3347/kjp.2013.51.4.453 .
Bracanović, Đurđa, Đurić, Marija, Sopta, Jelena, Đonić, Danijela, Lujić, Nenad, "Skeletal Manifestations of Hydatid Disease in Serbia: Demographic Distribution, Site Involvement, Radiological Findings, and Complications" in Korean Journal of Parasitology, 51, no. 4 (2013):453-459, https://doi.org/10.3347/kjp.2013.51.4.453 . .