Dogra Shavinder, Misra Pratibha, Bedi Tejpal Singh, Jacob Mathews
Head of Department (Surgery), 151 Base Hospital, C/o 99 APO, India.
Senior Advisor (Pathology & Biochemistry), 151 Base Hospital, C/o 99 APO, India.
Med J Armed Forces India. 2024 Dec;80(Suppl 1):S288-S291. doi: 10.1016/j.mjafi.2023.04.005. Epub 2023 Jun 4.
Taenia solium is a parasite and is endemic in the developing countries due to various unhygienic faecal practices. The disseminated form is commoner with the brain being the most common site of affliction. This report is of a young female patient with complaints of an insidious and progressive swelling of the right forearm. Clinicoradiological features were suggestive of an isolated myocysticercosis which was symptomatic with restricted pronation and supination. The symptoms persisted post a course of Albendazole, and the cyst had to be excised as it was impinging on the median and radial nerves. The patient has been asymptomatic after a 3-month post-operative period with no signs or imaging evidence of residual disease. The presence of isolated intramuscular cysticercosis is an extremely rare and a high index of suspicion is needed for early diagnosis. Although medical management is extremely effective, surgical excision may be required in certain cases.
猪带绦虫是一种寄生虫,由于各种不卫生的粪便处理方式,在发展中国家呈地方性流行。播散型较为常见,其中脑部是最常见的受累部位。本报告介绍了一名年轻女性患者,她主诉右前臂出现隐匿性、进行性肿胀。临床放射学特征提示为孤立性肌肉囊尾蚴病,伴有旋前和旋后受限的症状。在接受阿苯达唑治疗后症状仍持续存在,由于囊肿压迫正中神经和桡神经,不得不将其切除。术后3个月患者一直无症状,没有残留疾病的体征或影像学证据。孤立性肌肉囊尾蚴病极为罕见,早期诊断需要高度怀疑。虽然药物治疗非常有效,但在某些情况下可能需要手术切除。