A Rare Case of Peripheral Cysticercosis in a Young Female from South India
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Date
2022-04
Journal Title
Journal ISSN
Volume Title
Publisher
Indian Medical Association
Abstract
Human Cysticercosis, a potentially deadly infestation, is the consequence of ingestion of eggs of Taenia solium. Cysticercosis is the most common parasitic infestation of the Central Nervous System, Muscle and Subcutaneous Tissue. About 54% of the patients present with subcutaneous nodules combined with nervous involvement. Cysticercosis is the most common Parasitic Disease of the Central Nervous System in the world but Cysticercosis cutis has been reported much less frequently(less than 2%). Here we are discussing a case of peripheral cysticercosis for which Surgery was done followed by medical treatment. Our patient came with a swelling on the left forearm near cubital fossa duration progressively increasing in size for the past 4 months. Complaints of pain over the swelling. MRI of the swelling was taken which showed a cystic swelling in the subcutaneous plane with a scolex in situ. After ruling out Neurocysticercosis, patient was taken up for excision of the cyst. Histopathology reported positive for cysticercosis with in situ scolex.Postoperative period uneventful and the patient was given a course of albendazole for two weeks. Majority of the patients will be presenting with Neurological Symptoms as Neurocysticercosis. Albendazole is considered as the treatment of choice in most of the cases and is cost effective. An alternate choice is praziquantel which might be given for some patients. Surgical management is preferred for peripheral cyst which is one of the rarest presentation.
Description
Keywords
Cysticercosis, Scolex, Taenia solium, Neurocysticercosis, Tapeworm infection
Citation
Philip Achu Jacob, Chand Ashwin, Ramdas Anita, Punnooran Joe J. A Rare Case of Peripheral Cysticercosis in a Young Female from South India. Journal of The Indian Medical Association. 2022 Apr; 120(4): 62-63