RESUMO
Bone lesions are present in 1% to 2% of cases of hydatid disease. Hydatid synovitis can usually be identified due to secondary extension from the adjacent bone, or infrequently after hematogenous spread. We present an extremely rare case of hydatid synovitis without bony involvement. A 74-year-old man with diagnosed hydatid disease was admitted to our department because of left knee swelling. Neither physical examination nor laboratory studies revealed any remarkable findings. Radiographic evaluation of the knee joint was noncontributory. The patient underwent an arthroscopically assisted synovectomy, and the biopsy revealed an echinococcus contamination. No complications occurred during the postoperative period.
Assuntos
Doenças dos Trabalhadores Agrícolas/parasitologia , Artroscopia , Equinococose/cirurgia , Articulação do Joelho/parasitologia , Sinovite/parasitologia , Idoso , Doenças dos Trabalhadores Agrícolas/diagnóstico , Doenças dos Trabalhadores Agrícolas/cirurgia , Desbridamento , Equinococose/diagnóstico , Equinococose/etiologia , Humanos , Traumatismos do Joelho/complicações , Articulação do Joelho/cirurgia , Masculino , Recidiva , Sucção , Sinovite/diagnóstico , Sinovite/etiologia , Sinovite/cirurgiaRESUMO
We describe a patient with granulomatous synovitis secondary to osseus hydatid disease that manifested with chronic monarthritis, eosinophilia, and urticaria.
Assuntos
Equinococose , Sinovite/parasitologia , Diagnóstico Diferencial , Equinococose/complicações , Equinococose/diagnóstico , Granuloma/etiologia , Humanos , Artropatias/etiologia , Masculino , Pessoa de Meia-Idade , Membrana Sinovial/parasitologia , Membrana Sinovial/patologia , Sinovite/patologiaRESUMO
We prospectively studied 20 Saudi and Yamani patients with calcified guinea worm who presented with different rheumatic manifestations. Localized myalgia (55%), chronic monoarthralgia (35%) and chronic synovitis of the knee (10%) were the main presentations. Two cases with synovial fluid eosinophilia were seen. In spite of the absence of active infestation, the clinical, laboratory and radiological findings suggested the possibility of a causal relationship. The condition should be considered among other causes of parasitic rheumatism particularly in endemic areas.
Assuntos
Calcinose/complicações , Dracunculíase/complicações , Doenças Reumáticas/etiologia , Adulto , Idoso , Calcinose/diagnóstico por imagem , Calcinose/parasitologia , Dracunculíase/diagnóstico por imagem , Dracunculíase/parasitologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Radiografia , Doenças Reumáticas/diagnóstico por imagem , Doenças Reumáticas/parasitologia , Arábia Saudita , Sinovite/diagnóstico por imagem , Sinovite/etiologia , Sinovite/parasitologiaRESUMO
The authors describe a case of echinococcosis of the tibia which occurred twice in seven years, the first time with signs of active involvement of the knee joint. Certain special aspects of articular echinococcosis, not up to now reported in the literature, are dealt with. The conclusion reached is that in an articular site the parasite can give rise either to a veritable "echinococcal" arthritis or, as in the case presented, to a the synovial affection which cannot be defined as "echinococcal" because the synovium did not contain living larval forms of the parasite, but only microscopic chitinous inclusions, arising from the disintegration of sterile hydatids, which had escaped from the adjacent bony focus into the joint. The synovium reached to their presence with an intense inflammatory response of a predominantly histiocytic nature. The term "meta-echinococcal arthrosynovitis" is suggested as a more accurate designation of this syndrome.
