Thread by @guerreroespejo

A 65-YO man, from North African: asymptomatic dorsolumbar mass for 30 years with normal skin appearance.

MRI: ?
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doi.org/10.1093/cid/ci…
#radiology #MedTwitter #parasitology

MRI: a multivesicular cyst in the latissimus dorsi muscle (arrow)

🧪for Echinococcus granulosus: ELISA, & Western blot➕
Surgery: multiple daughter vesicles of E. granulosus, with the presence of multiple scolices

INTRAMUSCULAR HYDATID CYST
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#parasites #medicine #radres

No puncture should be performed, to avoid dissemination of the cysts that can cause an anaphylactic shock.

The patient received 3 other courses of albendazole: serologic control became negative after 1 year.
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#IDtwitter #surgery

Hydatid disease is a zoonosis endemic in certain parts of the world.

It is often underdiagnosed because of its asymptomatic development over the years.

Parasitic etiology should be considered as a differential diagnosis of soft tissue tumor.
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#MedEd #microbiology #Doctor

Serological tests can also be useful in the diagnosis but can sometimes give false-negative results.

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#MedStudentTwitter #MedicalStudents

To avoid dissemination of the cysts that can cause an anaphylactic shock, diagnosis puncture should not be performed.

Surgery must be cautious

Adrenaline, in case of anaphylactic shock.
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doi.org/10.1093/cid/ci…
#resident #cirugía