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Original Article

Skeletal Manifestations of Hydatid Disease in Serbia: Demographic Distribution, Site Involvement, Radiological Findings, and Complications

Djurdja Bracanovic1,2, Marija Djuric1, Jelena Sopta3, Danijela Djonic1, Nenad Lujic4
The Korean Journal of Parasitology 2013;51(4):453-459.
Published online: August 30, 2013

1Laboratory for Anthropology, Institute of Anatomy, School of Medicine, University of Belgrade, Belgrade 11000, Serbia.

2Department of Radiology, School of Dental Medicine, University of Belgrade, Belgrade 11000, Serbia.

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Corresponding author (marijadjuric5@gmail.com)
• Received: March 10, 2013   • Revised: June 18, 2013   • Accepted: July 5, 2013

© 2013, Korean Society for Parasitology and Tropical Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Skeletal Manifestations of Hydatid Disease in Serbia: Demographic Distribution, Site Involvement, Radiological Findings, and Complications
Korean J Parasitol. 2013;51(4):453-459.   Published online August 30, 2013
DOI: https://doi.org/10.3347/kjp.2013.51.4.453
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Skeletal Manifestations of Hydatid Disease in Serbia: Demographic Distribution, Site Involvement, Radiological Findings, and Complications
Korean J Parasitol. 2013;51(4):453-459.   Published online August 30, 2013
DOI: https://doi.org/10.3347/kjp.2013.51.4.453
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Skeletal Manifestations of Hydatid Disease in Serbia: Demographic Distribution, Site Involvement, Radiological Findings, and Complications
Image Image Image
Fig. 1 Standard radiography of the left femur (lateral projection) with typical lesion radiologically classified as cyst, accompanied by cortical thinning.
Fig. 2 Standard radiography of the right femur (frontal projection) with multiple cystic lesions and associated pathological fracture in the proximal metaphysis (arrow).
Fig. 3 Wall of the hydatid cyst showing the laminated membrane with germinal layer and fibrous capsule (H&E stain) (A)×40, (B)×100.

Fig. 1

Fig. 2

Fig. 3

Skeletal Manifestations of Hydatid Disease in Serbia: Demographic Distribution, Site Involvement, Radiological Findings, and Complications
Localization No % Femur 8 18.6 Pelvis 6 14.0 Humerus 3 7.0 Tibia 1 2.3 Rib 1 2.3 Spine Thoracic 16 37.2 Lumbar 5 11.6 Sacral 3 7.0 Total 43a 100.0 Radiological diagnosis No % Fracture 16 39.0 Cyst 7 17.1 Tumefaction 12 29.3 Pathological fracture and cyst 2 4.9 Pathological fracture and tumefaction 2 4.9 Cyst and tumor 2 4.9 Total 41 100.0 Spinal segment Number of patients with symptoms/complications
Pain Paraplegia Scoliosis Pathologic fracture Fistula Thoracic 6 4 3 10 1 Lumbar 3 5 1 5 0 Sacral 3 0 0 0 0 Total 12 9 4 15 1
Table 1. Distribution of skeletal involvement of cystic echinococcosis in Serbian population (1971-2010)

Among 41 patients, 2 individuals had 2 skeletal sites affected.

Table 2. Radiological diagnosis based on radiographies made prior to histological verification of bone cystic echinococcosis in Serbian population (1971-2010)
Table 3. Symptoms or complications in patients with spinal cystic echinococcosis in Serbian population (1971-2010)

Table 1.

Table 2.

Table 3.

PHD : Parasites, Hosts and Diseases

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