• Der Internist · Sep 2021

    Case Reports

    [Deep lumbar back pain and neurological sensory deficits in a 56-year-old male patient].

    • U Heiler, M Ruf, H Meinig, A Hasenfus, M Stojkovic, and T Pitzen.
    • Zentrum für Wirbelsäulenchirurgie, Orthopädie und Traumatologie, SRH Klinikum Karlsbad, Guttmannstraße 1, 76307, Karlsbad, Deutschland. ute.heiler@t-online.de.
    • Internist (Berl). 2021 Sep 1; 62 (9): 980-984.

    AbstractEchinococcus infestations are rare in humans, infestation of bone occurs in less than 1% and a primary spinal infestation is extremely rare. This article reports on a clinical case of lumbar and sacral spinal infestation by Echinococcus multilocularis in a 56-year-old male Caucasian with neurological sensory deficits and deep lumbar back pain. Due to the suspicion of spondylodiscitis a computer tomography-guided biopsy was carried out without success, so that a sample was surgically obtained. The diagnosis of a spinal Echinococcus infestation could be made. A radical surgical débridement was carried out and anthelminthic treatment was started. This article describes this unusual case in detail and gives a brief summary of the current literature on this disease.© 2021. Springer Medizin Verlag GmbH, ein Teil von Springer Nature.

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