Der Internist
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A 26-year-old female presented to the emergency department due to abdominal pain in spite of painkillers. After extensive clinical diagnostics, no specific cause could be found. ⋯ Drugs that were known to be triggers were avoided and treatment with heme arginate and glucose was started. In addition, treatment of the delirium and infection led to a complete remission of symptoms.
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Case Reports
[Deep lumbar back pain and neurological sensory deficits in a 56-year-old male patient].
Echinococcus 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. ⋯ 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.