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Kaur S, Shukla P. Cerebral sparganosis masquerading brain neoplasm: A rare incidental case. Indian J Med Microbiol 2023; 41:101-103. [PMID: 36404193 DOI: 10.1016/j.ijmmb.2022.10.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 09/30/2022] [Accepted: 10/21/2022] [Indexed: 11/19/2022]
Abstract
Sparganosis is a parasitic infection caused by plerocercoid larvae of the genera Spirometra. Cerebral sparganosis is one of its most serious complications wherein clinical and imaging findings may pose diagnostic challenge. Here we present a case of cerebral sparganosis which mimicked as brain tumour on clinicoradiological examination. The case is reported in view of its rarity in India and the need for awareness of the entity.
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Affiliation(s)
- Sukhpreet Kaur
- Department of Pathology, Institution - Bhopal Memorial Hospital and Research Centre, Under ICMR, GOI, Bhopal, India.
| | - Prakriti Shukla
- Department of Pathology, Institution - Bhopal Memorial Hospital and Research Centre, Under ICMR, GOI, Bhopal, India
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2
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Kim BM, Kim DJ, Chang MY, Kim YJ, Kim JH, You JK. Axillary sparganosis, changes in ultrasound images over six months: A case report. Radiol Case Rep 2019; 15:177-180. [PMID: 31890063 PMCID: PMC6923443 DOI: 10.1016/j.radcr.2019.11.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2019] [Revised: 11/14/2019] [Accepted: 11/17/2019] [Indexed: 11/30/2022] Open
Abstract
Sparganosis is an infestation caused by a tapeworm belonging to the genus Spirometra. The typical radiologic findings of sparganosis describe elongated, folded, band or tubular, hypoechoic structures with surrounding increased echogenicity in ultrasonography. These imaging features have been highly consistent with pathology results. Here, we report an interesting case of axillary sparganosis that manifested changes on ultrasound images over a period of 6 months.
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Affiliation(s)
- Bo-Mi Kim
- Department of Diagnostic Radiology, National Health Insurance Service Ilsan Hospital, 100 ilsanro, Ilsandong-gu, Goyang 10444, Korea
| | - Do Joong Kim
- Department of Diagnostic Radiology, National Health Insurance Service Ilsan Hospital, 100 ilsanro, Ilsandong-gu, Goyang 10444, Korea
| | - Min-Yung Chang
- Department of Diagnostic Radiology, National Health Insurance Service Ilsan Hospital, 100 ilsanro, Ilsandong-gu, Goyang 10444, Korea
| | - Yee Jeong Kim
- Department of Pathology, National Health Insurance Service Ilsan Hospital, Goyang, Korea
| | - Joo Heung Kim
- Department of Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Korea
| | - Jai Kyung You
- Department of Diagnostic Radiology, National Health Insurance Service Ilsan Hospital, 100 ilsanro, Ilsandong-gu, Goyang 10444, Korea
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3
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Ogueta I, Navajas-Galimany L, Concha-Rogazy M, Álvarez-Véliz S, Vera-Kellet C, Gonzalez-Bombardiere S, Wortsman X. Very High- and High-Frequency Ultrasound Features of Cutaneous Larva Migrans. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2019; 38:3349-3358. [PMID: 31106871 DOI: 10.1002/jum.15023] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/03/2019] [Accepted: 04/28/2019] [Indexed: 06/09/2023]
Abstract
Cutaneous larva migrans is a common infestation among travelers. Although the diagnosis may be suspected clinically, cases can show atypical presentations. We present the ultrasound features of 4 cases at 18 and 70 MHz. Small linear hyperechoic and hyper-refringent subepidermal and intrafollicular structures suggestive of fragments of larvae, hypoechoic dermal and hypodermal tunnels that match with dilatation of lymphatic ducts, and inflammatory dermal and hypodermal ultrasound signs can support the diagnosis. This work suggests that larvae can penetrate the cutaneous basement membrane through the ostia of the hair follicles and potentially disseminate through the dermal and hypodermal lymphatic network.
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Affiliation(s)
- Isabel Ogueta
- Departments of Dermatology, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Lucas Navajas-Galimany
- Departments of Dermatology, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Marcela Concha-Rogazy
- Departments of Dermatology, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Sergio Álvarez-Véliz
- Departments of Dermatology, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Cristián Vera-Kellet
- Departments of Dermatology, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
| | | | - Ximena Wortsman
- Departments of Dermatology, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
- Institute for Diagnostic Imaging and Research of the Skin and Soft Tissues, Santiago, Chile
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4
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Kim HS, Shin MS, Kim CJ, You SH, Eom YH, Yoo TK, Lee A, Song BJ, Chae BJ. Sparganosis of the Unilateral Breast: A Case Report. THE KOREAN JOURNAL OF PARASITOLOGY 2017; 55:421-424. [PMID: 28877574 PMCID: PMC5594728 DOI: 10.3347/kjp.2017.55.4.421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/24/2016] [Revised: 06/06/2017] [Accepted: 06/15/2017] [Indexed: 11/23/2022]
Abstract
Sparganosis is a parasitic infection caused by the sparganum, the plercercoid of the genus Spirometra. The preoperative diagnosis of breast sparganosis is difficult in most cases because it is a rare parasitic infection less than 2% of all cases. We report a 62-year-old woman case of breast sparganosis that were confirmed by surgical removal of worms from the right breast. The radiologic images of the patient also revealed characteristic features of breast sparganosis. The patient described the migrating palpable breast mass, which strongly suggested the possibility of breast sparganosis. The treatment of choice and confirmative diagnosis for sparganosis are complete surgical extraction of the sparganum irrespective of infected site. Inspection of the mass site with detailed medical history and radiological examinations are important for preoperative diagnosis of sparganosis patients.
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Affiliation(s)
- Hyung Suk Kim
- Department of Surgery, Seoul St. Mary's Hospital, Catholic University of Korea College of Medicine, Seoul 06591, Korea
| | - Man Sik Shin
- Department of Surgery, Seoul St. Mary's Hospital, Catholic University of Korea College of Medicine, Seoul 06591, Korea
| | - Chang Jong Kim
- Department of Surgery, Seoul St. Mary's Hospital, Catholic University of Korea College of Medicine, Seoul 06591, Korea
| | - Sun Hyung You
- Department of Surgery, Seoul St. Mary's Hospital, Catholic University of Korea College of Medicine, Seoul 06591, Korea
| | - Yong Hwa Eom
- Department of Surgery, Seoul St. Mary's Hospital, Catholic University of Korea College of Medicine, Seoul 06591, Korea
| | - Tae Kyung Yoo
- Department of Surgery, Seoul St. Mary's Hospital, Catholic University of Korea College of Medicine, Seoul 06591, Korea
| | - Ahwon Lee
- Department of Hospital Pathology, Seoul St. Mary's Hospital, Catholic University of Korea College of Medicine, Seoul 06591, Korea
| | - Byung Joo Song
- Department of Surgery, Seoul St. Mary's Hospital, Catholic University of Korea College of Medicine, Seoul 06591, Korea
| | - Byung Joo Chae
- Department of Surgery, Seoul St. Mary's Hospital, Catholic University of Korea College of Medicine, Seoul 06591, Korea
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5
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Affiliation(s)
- Monica D Agarwal
- Breast Imaging Section, Department of Radiology, Beth Israel Deaconess Medical Center, Boston, MA
| | - Shambhavi Venkataraman
- Breast Imaging Section, Department of Radiology, Beth Israel Deaconess Medical Center, Boston, MA
| | - Priscilla J Slanetz
- Breast Imaging Section, Department of Radiology, Beth Israel Deaconess Medical Center, Boston, MA.
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Song EJ, Sohn YM, Ryu KN, Min SY, Shin SH, Park YK. Breast sparganosis and incidentally detected subcutaneous and intramuscular sparganosis at several sites: case report and literature review. Jpn J Radiol 2015; 33:225-8. [PMID: 25725936 DOI: 10.1007/s11604-015-0405-6] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2014] [Accepted: 02/17/2015] [Indexed: 11/25/2022]
Abstract
Sparganosis is an infestation caused by a tapeworm belonging to the genus Spirometra. We describe a surgically confirmed case of sparganosis in several organs including the breast, both lower extremities, anterior chest wall, inguinal area, and the psoas and gluteus muscles. Mammography, ultrasonography, and MRI imaging findings for our patient were characteristic of sparganosis. Ultrasonography revealed multiple elongated tubular hypoechoic structures with surrounding increased echogenicity. Mammographic findings included tortuous, lobular, and tubular densities. Short tau inversion recovery (STIR) MR images contained several elongated tubular tracts of high signal intensity. These imaging features were highly consistent with pathology results.
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Affiliation(s)
- Eun Jee Song
- Department of Radiology, Kyung Hee University Hospital, College of Medicine, Kyung Hee University, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, 130-872, South Korea
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Wiwanitkit V. Breast Sparganosis. Breast J 2013; 19:693. [DOI: 10.1111/tbj.12197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Viroj Wiwanitkit
- Hainan Medical University; Haikou China
- Department of Biological Science, Faculty of Medicine; University of Nis; Nis Serbia
- Joseph Ayobabalola University; Ikeji-Arakeji Nigeria
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Tappe D, Berger L, Haeupler A, Muntau B, Racz P, Harder Y, Specht K, Prazeres da Costa C, Poppert S. Case report: Molecular diagnosis of subcutaneous Spirometra erinaceieuropaei sparganosis in a Japanese immigrant. Am J Trop Med Hyg 2012; 88:198-202. [PMID: 23166198 DOI: 10.4269/ajtmh.2012.12-0406] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
We report a case of subcutaneous sparganosis in a 68-year-old female Japanese immigrant in Germany. The patient complained of a painless erythema caudal of the umbilicus with a palpable subcutaneous cherry-sized lump. Polymerase chain reaction on formalin-fixed parasite tissue identified Spirometra erinaceieuropaei as the causative agent; the proliferative form of sparganosis, which is caused by the branching and disseminating Sparganum proliferum, could, thus, be excluded. From the excised sparganum, an immunofluorescence test was established and revealed an antibody response directed against the parasite's tegument. Histological key features of the plerocercoid that facilitate diagnosis with different stains are presented.
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Affiliation(s)
- Dennis Tappe
- Institute of Hygiene and Microbiology, University of Würzburg, Würzburg, Germany.
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