Taenia solium in the Anterior Chamber: Surgical Management of a Rare Case of Live Free-Floating Parasite

Ocular cysticercosis is a preventable cause of blindness. It is a parasitic infestation caused by Cysticercus cellulosae—which is the larval form of Taenia solium. In 1829, Soemmering reported the first case of a live anterior chamber cysticercosis. In the following, we report a rare case of a 13-year-old male who presented with a live adult Taenia solium in the anterior chamber without any systemic features and its successful management.

Unilateral Cysticercosis of the Parotid Gland: Case Report, Diagnosis, and Clinical Management

Cysticercosis is a systemic parasitic infection caused by the establishment of the larval form of the parasitic cestode, Taenia solium. Cysticercosis is acquired via the fecal-oral route and is prevalent in low- and middle-income countries (LMICs). Patients typically manifest with skeletal muscle, subcutaneous, or central nervous system involvement. Though there are reports of oral mucosa involvement, solitary involvement of the parotid gland is rare. This is a rare case of a 57-year-old man diagnosed with parotid cysticercosis by imaging and FNA. He was successfully treated by anthelminthic therapy and needle aspiration. The patient has been seen back several times. The cyst is not palpable, and he is satisfied. Parotid cysticercosis should be considered in the differential of a parotid mass in patients who have traveled to endemic regions. Though prior reports have indicated the importance of surgical excision, this patient was treated medically.

DIFFERENT REPRESENTATIONS OF HEPATIC HYDATIDS AND THEIR MANAGEMENTS

Introduction: Hydatid disease is a parasitic infestation by a tape worm of the kind echinococcus. The larval form of cestode, Echinococcus granulosus, manifesting as cyst located mainly still not exclusively, in the liver (up to 80%) is the reason of disease in the mankind. Echinococcus can involve any organ, but liver is the most common organ follow by the lungs. Our study showed the different clinical presentations of hydrated cyst of liver, we showed the various complications and their management and the treatment options especially surgical methods. Materials And Method: This study of 30 patients with hydrated cyst of liver included the patients admitted in the Department of General Surgery In M.G.M Medical College and L.S,K Hospital in a period between august 2014 to September 2016. Patient of all ages and both sexes are included in this study. Department of General Surgery in M.G.M Medical College and L.S.K Hospital, Kishanganj Results & Analysis: Our study showed that 1 patient had Retained cyst complications, 2 patients had Biliary stula complications, 2 patients had Post operative cholangitis complications and 2 patients had Surgical site infection. 29 patient had modality of treatment is surgery, 30 patient had modality of treatment is Preoperative Chemotherapy and 30 patient had modality of treatment is Postoperative Chemotherapy. Conclusion: The largest cyst was 14.5x14x11 cm. in right lobe of liver. Most common modality of treatment is surgical, with pre & post operative chemotherapy. The scolicidal agents most commonly used are combination of 0.5 % Certied and 0.05 % of chlorhexidine (SAVLON) TM. The chemotherapeutic agents were Albendazole in doses of 10 mg /kg. body wt. twice daily for 28 days for 3 -4 cycles with an interval of 14 days in between the cycles. All the patients were monitored for liver dysfunctions and granulocytopenias. So, for symptomatic hydatid cyst of liver, open surgical method is the best modality of management. And in this study out of 30 patients 29 recovered well and due to associated comorbidities 1 patient was not operated, who was managed conservatively.

Solitary cysticercosis of the sternocleidomastoid muscle

Cysticercosis is a tropical infection caused by the larval form of Taenia solium and is usually known to affect the central nervous system. We report a young man who presented with a swelling in the neck and was treated with surgical excision and antihelminthics.

HELMINTHES OF CATFISH (SILURUS GLANIS L.) IN WATER BODIES OF THE MIDDLE REACHES OF THE SYRDARYA RIVER

Study of the species composition of catfish helminths in water bodies of the middle reaches of the Syrdarya river. The material was collected in 2019–2021 in natural and artificial reservoirs of the middle reaches of the Syrdarya river. We examined 216 specimens of the catfish by methods of complete parasitological dissection proposed by V.A. Dogel (1933), A.P. Markevich (1950) and I.E. Bykhovskaya-Pavlovskaya (1952). The helminths found were undergone laboratory inspection according to generally accepted methods of I.E. Bykhovskaya-Pavlovskaya (1952), A.A. Shigin (1986) and O.N. Bauer (1987). As the research results show, the prevalence in catfish was 31.5% with the intensity of invasion 1–70 specimens. 29 species of helminths were recorded in the catfish: 7 species of cestodes, 10 species of trematodes, 9 species of nematodes, and 3 species of proboscis worms, which belong to 27 genera, 19 families, 11 orders and 4 classes. Events of mono- and associative invasions have been reported. From 29 species of helminths found, 17 species were found in the larval form, and 12 species in the sexually mature form. In natural and artificial reservoirs of the Syrdarya region of Uzbekistan, the catfish is infected with 29 species of helminths. The total infection rate in fish is 31.5%. This parameter varies depending on the season of the year

Case Report: Clonorchis sinensis Infection Associated with Eosinophilic Pneumonia: A Case Report and Review of the Literature

Clonorchis sinensis, a trematode prevalent in East Asia, causes hepatobiliary infection. Exposure typically occurs through ingestion of raw or undercooked fish containing the encysted larval form of the parasite. Extrahepatobiliary disease has not commonly been described. In this case report, we describe an unusual case of C. sinensis infection associated with eosinophilic pneumonia. A middle-aged man from China presented with subacute cough and was found to have a bilateral diffuse eosinophilic pneumonia with associated peripheral eosinophilia. Stool microscopy revealed C. sinensis eggs, and the patient improved after treatment with prednisone and praziquantel. Pulmonary clonorchiasis should be considered in patients with eosinophilic pneumonia from areas highly endemic for this pathogen.

Demographics and Pharmacotherapy in Neurocysticercosis: A hospital Based Study

Introduction: Neurocysticercosis (NCC) is one of the commonest preventable cause of seizure. It is due to development of the larval form of Taenia solium. This disease is endemic in south east Asia including Nepal and has been considered as one of the neglected tropical disease. Methods: All the patients who came to Neurosurgical outpatient department (OPD) of Annapurna Neurological Institute and Allied Sciences (ANIAS) with the diagnosis of NCC with seizure during the study time frame were included in the study. The time frame of the study was January 1st 2017 till December 31st 2018. Results: There were 167 total cases of which 108 (64.7%) were male and 59 (35.3%) were female. Mean age was 27.9 years (SD 13.1 years, range 1 year to 66 years). Frequency of patients were in the age group 20-30 years followed by 10-20 years. In terms of number of lesions, 86% of the patients had single lesion while 14% had multiple lesionsMaximum number of cases had focal seizure with secondary generalization (46%). This was followed by focal seizure (28%). Most common antiepileptics was carbamazepine (51.5%).Mean duration of antiepileptics was 2.5 years (SD 1.47, Range 9 months to 6 years) and recurrence was noted in 7.78% of cases. Conclusion: NCC affects the productive age group with higher proportion being male patient. Single lesion is more prevalent. Proper measures for treatment and prevention of neurocysticercosis is essential and can lead to better control of this condition.

Radiological manifestations of thoracic hydatid cysts: pulmonary and extrapulmonary findings

Hydatid cyst caused by the larval form of Echinococcus is a worldwide zoonosis. The lungs and liver are the most common sites involved. While the lung parenchyma is the most common site within the thorax, it may develop in any extrapulmonary region including the pleural cavity, fissures, mediastinum, heart, vascular structures, chest wall, and diaphragm. Imaging plays a pivotal role not only in the diagnosis of hydatid cyst, but also in the visualization of the extent of involvement and complications. The aim of this pictorial review was to comprehensively describe the imaging findings of thoracic hydatid cyst including pulmonary and very unusual extrapulmonary involvements. An outline is also given for the findings of complications and differential diagnosis of thoracic hydatid cyst.

Case report of a rare isolated cysticercosis of the inguinal region

Cysticercosis, an infection with larval form of pork tape worm, Taenia solium, commonly presents with multiple muscular cysts or CNS involvement. Due to vague clinical presentation and unfamiliarity of clinicians with this entity, it is difficult to diagnose which seen as an isolated cyst. In this article presented a case of solitary inguinal region swelling in an 8-year-old boy which after diagnosis proved to be a solitary cysticercosis in the inguinal region which is very rare occurrence.