Asymptomatic isolated intramuscular cysticercosis in diabetic patient: a case report

Dwipayana, Putu Aditya; Adrian, Steven Johanes; Diyana, Made Wirama

doi:10.18203/2349-3933.ijam20221712

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…The T. solium metacestode is located in subcutaneous space, intermediate host internal organs (Chatuthanai et al 2022) and muscles, but more often invades the central nervous system (CNS), resulting in a medical syndrome known as neurocysticercosis (NC). Separate intramuscular C. cellulosae cysticercosis without the involvement of the central nervous system is very rare (Dwipayana et al 2022). Metacestodes affect predominantly the central nervous system (97.46%), followed by ocular localization (1.4%), rarely subcutaneously, and soft tissue infection (1.14%) (Gnanamoorthy and Suthakaran 2019).…”

Section: Introductionmentioning

confidence: 99%

Recent Advances in Diagnosing of Human Cysticercosis

2023

IJAB

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Cysticercosis in humans is a parasitic disease caused by Cysticercus (C.) cellulosae, the larval stage (known as metacestode) of the Cyclophyllidean tapeworm Taenia (T.) solium. It is a highly prevalent infection in India, China, the Southern part of the African continent, South America, the Central American region of North America, and a few Eastern European countries. T. solium (neuro cysticercosis, NC) causes a zoonotic disease complex. According to many authors NC is considered as one of the most important food-borne zoonotic diseases respectively, caused by helminth parasite. Accurate and prompt diagnosis is essential for early detection and effective treatment of the disease. Diagnostic approaches including: Direct Detection of metacestodes and tissue lesions in CNS and soft tissues; Various Imaging Techniques like: CT, MRI, Ultrasonography (US) and Xray; Classical and Rapid Serology tests and Molecular techniques. Neuroimaging by CT or MRI is critical in the diagnosis of neurocysticercosis. MRI is more expensive but is becoming more accessible in developing countries often provides a clearer picture of cysticerci and has greater sensitivity for multiple lesions. Serological testing provides important confirmatory data for patients with suspicious lesions on CT or MRI. Serological testing has improved, with a sensitivity of 98% and a specificity approaching 100%. The electro-immune-transfer blot (western blot) assay using lentil lectin purified glycoprotein antigens (LLGP-EITB) is preferable to the ELISA for the identification of anti-cysticercal antibodies in human serum. Low molecular weight metacestode secretion proteins, and especially glycoproteins, have shown the best performances in NC diagnosis assays. The LAMP (loop-mediated isothermal amplification technique) test would be a very useful tool to contribute to reducing the incidence of cysticercosis in developing countries, except when the cysticerci are calcified, because in that case no circulating antigens are available. Ideally both ways are used, combining the advantage of the higher sensitivity of MRI with CT detection of calcium. Identifying of human cysticercosis is possible by collecting and analyzing laboratory results and clinical/epidemiological data strictly following Del Brutto's revised diagnostic criteria.

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Section: Introductionmentioning

confidence: 99%

Recent Advances in Diagnosing of Human Cysticercosis

2023

IJAB

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Isolated intramuscular cysticercosis masquerading as tumor: Case report and review of literature

Sharma,

Baghel,

Singh

et al. 2023

JBJD

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Cysticercosis is an emerging parasitic disease affecting worldwide population. There is large volume of data present in the literature for neurocysticercosis. Tapeworm infections are common in developing countries where there is poor access to sanitation facilities and close interaction between humans and animals and where pigs are a major source of food. The isolated intramuscular involvement of cysticercosis is uncommon. Due to vague clinical presentation and unfamiliarity of clinicians with this entity, it is difficult to diagnose. The initial presentation mimics a soft tissue mass, but imaging arouses suspicion. Here, we report a case of Intramuscular Cysticercosis diagnosed by high resolution ultrasonography in a 25 year old male patient who presented with pain and swelling over the right forearm, without any associated neurological or ocular involvement. The patient responded well to the course of steroids and Albendazole with complete resolution of pain and swelling.

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Asymptomatic isolated intramuscular cysticercosis in diabetic patient: a case report

Cited by 2 publications

References 6 publications

Recent Advances in Diagnosing of Human Cysticercosis

Recent Advances in Diagnosing of Human Cysticercosis

Isolated intramuscular cysticercosis masquerading as tumor: Case report and review of literature

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