C Nourrisson1, S Mathieu2, J Beytout3, M Cambon1, P Poirier4. 1. Laboratoire de parasitologie-mycologie, CHU Gabriel-Montpied, 58, rue Montalembert, 63003 Clermont-Ferrand cedex 1, France. 2. Service de rhumatologie, CHU Gabriel-Montpied, 63003 Clermont-Ferrand, France. 3. Service de maladies infectieuses, CHU Gabriel-Montpied, 63003 Clermont-Ferrand, France. 4. Laboratoire de parasitologie-mycologie, CHU Gabriel-Montpied, 58, rue Montalembert, 63003 Clermont-Ferrand cedex 1, France. Electronic address: ppoirier@chu-clermontferrand.fr.
Abstract
INTRODUCTION: Osteolytic lesions are not always related to malignancies. CASE REPORT: We report an 82-year-old woman suffering from subcostal pain. The patient underwent a splenectomy 40 years previously. CT-scan and MRI highlighted a calcified hepatic lesion associated with an osteolytic lesion of the L5 vertebra. Osteolytic and hepatic lesions were attributed to an alveolar echinococcosis based on positive serological assays. CONCLUSION: To our knowledge, this is the first report of an alveolar echinococcosis in a patient with splenectomy and secondary lesions. We suggest that the splenectomy could have promoted the parasite spreading to vertebra.
INTRODUCTION:Osteolytic lesions are not always related to malignancies. CASE REPORT: We report an 82-year-old woman suffering from subcostal pain. The patient underwent a splenectomy 40 years previously. CT-scan and MRI highlighted a calcified hepatic lesion associated with an osteolytic lesion of the L5 vertebra. Osteolytic and hepatic lesions were attributed to an alveolar echinococcosis based on positive serological assays. CONCLUSION: To our knowledge, this is the first report of an alveolar echinococcosis in a patient with splenectomy and secondary lesions. We suggest that the splenectomy could have promoted the parasite spreading to vertebra.