scholarly journals Cysticercosis Masquerading as Lipo–Dermoid

2018 ◽  
Vol 10 (1) ◽  
pp. 73-76
Author(s):  
Mridhula Sekar ◽  
Nita Umesh Shanbhag ◽  
N Sahana

Cysticercosis is caused by the larval stage of Taenia solium (Pork tape worm). Humans are the definitive hosts where the life cycle is completed and pig is the intermediate host. Incidence in India varies from 2-38% based on the consumption of pork, general hygiene and socio-economic status of the population. The parasite on reaching the small intestine encysts itself in various tissues. Most commonly Brain, Eyes, subcutaneous tissue. Intravitreal cyst is the commonest intra ocular presentation. Death of the parasite and release of the contents of the cyst causes an intense inflammatory reaction that can be devastating. We report the condition in a nine-year-old boy who presented with mild right upper lid swelling wherein cysticercus cellulosae cyst was found within the mass of the right lateral rectus muscle. It becomes important to report this case because of the unusual site of the cyst which masqueraded as a lipo-dermoid.

2020 ◽  
Vol 12 (1) ◽  
pp. 125-132
Author(s):  
Diwa Hamal ◽  
Santosh Kafle ◽  
Prerna Arjyal Kafle ◽  
Prija Poudyal ◽  
Binaya Lamichhane ◽  
...  

Introduction: Ocular cysticercosis is a preventable cause of blindness. It is caused by parasitic infestation caused by the larval form of Taenia solium. Poor sanitation and improper management of food and meat products are the major causes for cysticercosis infestation. Case: Two cases of myocysticercosis presented to our hospital differently. A 12 years boy, first case presented with drooping of right eye (RE) upper lid with recurrent swelling, pain, redness with mild headache and intermittent vomiting for 1 and half months. On examination swelling of RE upper lid, mild ptosis, abaxial proptosis with restricted motility in upgaze was noted. Orbital CT (computer tomography) scan and ocular ultrasound reports showed findings suggestive of myocysticercosis of superior rectus muscle of RE. Routine microscopic examination (RME) of stool demonstrated eggs of Taenia. Complete blood count (CBC) showed eosinophilia. As a suspected case of myocysticercosis and since the patient resided at an endemic zone, empirical therapy with albendazole and steroid was started to continue for 4 weeks. After one week the patient presented with features suggestive of RE orbital cellulitis. With proper counseling about medical therapy and cyst excision, the patient recovered well with only mild RE upper lid ptosis of 2mm. The histopathological examination (HPE) of the excised cyst was suggestive of inflammatory cystic lesion. A 55 years male presented as a second case to us with gradually increasing mass in the RE lower lid with a history of pain, difficulty in opening RE and intermittent swelling of RE 2 months back. On examination RE lower lid mass with exotropia of 15 degree, mild hypertropia was noted. CT scan showed presence of cystic mass 3.5x2x1.5cm in the right orbit involving the right inferior rectus muscle, abutting and displacing the globe superolaterally. CBC showed eosinophilia. Post cyst excision patient recovered well with remaining mild restriction in infraduction most probably due to fibrosis. HPE was conclusive of cysticercus cellulosae. Both the patients improved well with no recurrence until last visit 17 months in 12 years boy and 6 months in 55 years male after which he lost to follow. Conclusion: Myocysticercosis can occur at any age. There is equal importance of clinical, radiological, microbiological and histopathological support for proper diagnosis and management of cysticercosis. Medical therapy along with surgical excision of the cyst with it’s content may be needed in the management of myocysticersosis.


2019 ◽  
Vol 7 (1) ◽  
pp. 14-24
Author(s):  
N. Dhakal ◽  
Janak Raj Subedi

Background and Objectives: Intestinal parasites still establishes one of the important causes of public health problem in world, especially in developing countries like Nepal. The aim of the study is to determine the prevalence of intestinal parasites in Meche community of Jalthal Village Development Committee of Jhapa district in relation to their socio-economic status. Material and Methods: Study was carried out during June to July 2017 in Meche community of Jalthal Village Development Committee of Jhapa district. A total of 150 human stool samples were randomly collected and examined using direct smear and concentration methods (sedimentation and flotation technique). Results: Among total samples the prevalence of intestinal parasites in Meche community was 27.33%. Prevalence rate in females were higher 32.47% than in males 21.91%. There was no significant difference in the distribution of parasites between male and female (χ2=1.6022, df=1, p value=0.2056). The prevalence of the parasites was maximum in the age group 21- 40 years (47.22%). Altogether 5 species of the intestinal parasites were detected. Among them Ascaris lumbricoides (19.33%) topped the list followed by Taenia solium (2.67%), Hookworm (2.67%), Entamoeba coli (2.67%) and Trichuris trichiura (2%). Conclusion: The high prevalence of infection in community seems directly related to un-hygienic living condition, unsafe drinking water, unhygienic food, lack of health education, poor sanitary condition and low socio-economic status help to increase the burden of the infection in the community.


Author(s):  
Yasmeen Shamsi ◽  
Azhar Jabeen ◽  
Sadia Nikhat ◽  
Shafia Mushtaque

<p>Human cysticercosis is a common tropical disease which is caused by Cysticercus cellulosae, larvae of a tapeworm, Taenia solium. Cysticercosis can involve any tissue in the body; the most common affected sites are central nervous system, subcutaneous tissue, eyes, and muscles. Extensive intramuscular Cysticercosis without any other systemic involvement is a very rare finding. Here, we report a case of intramuscular Cysticercosis incidentally diagnosed by plain radiographs in a 51 year-old man who presented with osteoarthritis right knee joint and Cysticercosis was an incidental finding.</p>


2020 ◽  
Vol 4 (332) ◽  
pp. 321-328
Author(s):  
Z.Ye. Kabuldinov ◽  
◽  
F.R. Lebayev ◽  
◽  
◽  
...  

2017 ◽  
Vol 51 (1) ◽  
pp. 37-39
Author(s):  
Lokesh K Penubarthi ◽  
Alok Rathi

ABSTRACT Cysticercosis is the infection caused by Cysticercus cellulosae, the larval stage of the cestode Taenia solium. Humans are accidentally or incidentally infected, where it frequently encysts in subcutaneous tissue, brain, and ocular tissue. Involvement of muscles in the head and neck is rare with presence of disseminated or other system involvement. We present a case of isolated involvement of lateral pterygoid muscle with cysticercosis. How to cite this article Virk RS, Rathi A, Penubarthi LK, Gupta AK, Bansal S. Cysticercosis of Lateral Pterygoid Muscle. J Postgrad Med Edu Res 2017;51(1):37-39.


2016 ◽  
Vol 7 (2) ◽  
pp. 206-208 ◽  
Author(s):  
Amit Raj ◽  
Sudesh Kumar Arya ◽  
Pratik Topiwala ◽  
Panchmi Gupta ◽  
Sunandan Sood

We are sharing a case of orbital cysticercosis,which presented to us initially with simple ptosis and later on with upper lid inflammation and restricted ocular motility in upgaze. Human cysticercosis, a parasitic infection caused by Cysticercus cellulosae, the larval form of the cestode, Taenia solium, is a benign infection of the subcutaneous tissues, inter-muscular fascia, muscles and other organs. Though it exists worldwide, it is more prevalent in the developing countries of Latin America, Asia and Africa, especially in areas where under-cooked pork is consumed regularly (Pushker et al, 2001). However, 5 year study of 33 cases of Ocular/Adnexal cysticercosis showed seventy percent of patients were of low socioeconomic group and 70% were strictly vegetarians (Atul et al, 1995). The clinical manifestation of orbital cysticercosis is entirely different from neuro-cysticercosis or cysticercosis of other parts of body. Diagnosis of cysticercosis is mainly based on highly specific radiological signs and history of exposure in endemic areas. 


2019 ◽  
Vol 9 (8) ◽  
pp. 589-592
Author(s):  
Vijay Ramita*, Udawat Hema

Cysticercosis is a parasitic infection caused by Cysticercus cellulosae, the larval stage of Taenia Solium. It is present world-wide, but more prevalent in developing regions like South America, Africa, South-East Asia and Eastern Europe due to poor environmental sanitation. The common sites are skeletal muscle, subcutaneous tissue, brain and eye. Breast is an uncommon site and diagnosis is usually incidental. Only a few cases have been reported, so far. Several diagnostic tools such as radiologic imaging, serology and immunologic detection are being used but the gold standard  remains the demonstration of the parasitic larva by FNAC or histopathology. Here , we report an unusual case of cysticercosis in breast that was diagnosed o by Fine needle aspiration cytology. KEY WORDS: Cysticercosis, FNAC, Breast


1994 ◽  
Vol 80 (5) ◽  
pp. 925-927 ◽  
Author(s):  
Ramachandra G. Naik ◽  
Ariachery Ammini ◽  
Pankaj Shah ◽  
Chitra Sarkar ◽  
Veer Singh Mehta ◽  
...  

✓ A case of lymphocytic hypophysitis is described in a patient presenting with panhypopituitarism 8 years after her last childbirth. The patient developed headache, vomiting, and diplopia (due to palsy of the right lateral rectus muscle) 7 months after delivery of her last baby. The diplopia disappeared after a few days with symptomatic treatment, and the headache and vomiting decreased in intensity with analgesic therapy. Eight years later the patient developed symptoms suggestive of hypoadrenalism, hypothyroidism, and amenorrhea. Investigations revealed panhypopituitarism with a pituitary mass lesion. Repeat evaluation 1 year later demonstrated no change in the size of the pituitary gland. The patient underwent transsphenoidal surgery with a provisional diagnosis of pituitary adenoma. Histological examination of the resected gland revealed evidence of lymphocytic hypophysitis. Symptoms suggestive of a pituitary mass lesion were noted during the peripartum period, but features of hypopituitarism developed much later. Such a long latent period has not been reported before. This report also highlights the fact that glandular enlargement may persist for many years after the onset of lymphocytic hypophysitis.


2013 ◽  
Vol 5 (2) ◽  
pp. 279-280 ◽  
Author(s):  
S Agrawal ◽  
Somesh Ranjan ◽  
A Mishra

Background: Cysticercosis is common in endemic countries like India. It can have various clinical manifestations depending on the tissue involved. It refers to a parasitic infestation by Cysticercus cellulosae, the larval form of the pork tapeworm or Taenia solium. Objective: To report an unusual case of ocular cysticercosis involving the levator palpebrae superioris and superior rectus muscle of the right eye. Case description: A young, male adult was diagnosed by Magnetic Resonance Imaging (MRI) scan of the skull and orbit to have right-sided ocular cysticercosis. The patient was treated with oral prednisolone and albendazole, to which he showed a significant improvement. Conclusion: Ocular myocysticercosis can be diagnosed by MRI and be treated medically with steroid and albendazole. Nepal J Ophthalmol 2013; 5(10): 279-281 DOI: http://dx.doi.org/10.3126/nepjoph.v5i2.8745


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