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Sparganosis presenting as a lateral neck mass.
Sung Won Chae1, Jin Ho Choi, Dong Jin Lee
1Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine, Korea University Guro Hospital, 80 Guro-dong, Guro-gu, Seoul 152-703, Korea. chaeorl@kumc.or.kr
Head & Neck
|December 13, 2002
Summary
Cervical sparganosis, a rare parasitic infection, can mimic tumors. This case highlights the importance of considering sparganosis in neck masses, especially with a history of consuming mountain water.
Area of Science:
- Parasitology
- Infectious Diseases
- Oncology
Background:
- Cervical sparganosis is an uncommon parasitic infection.
- Its presentation can be mistaken for neoplastic or lymphadenopathic processes.
- Early and accurate diagnosis is crucial for effective treatment.
Observation:
- An 80-year-old male presented with a 3-month history of a painless lateral neck mass.
- Initial diagnosis was cervical lymphadenopathy, but eosinophilia was noted.
- The patient reported frequent consumption of mountain water.
Findings:
- Serologic testing for human sparganosis using ELISA was positive.
- Surgical excision confirmed the presence of sparganosis.
- Histologic examination verified the parasitic infection.
Implications:
- Sparganosis should be included in the differential diagnosis of neck masses.
- Risk factors include ingestion of contaminated water and consumption of raw animal products.
- Awareness can improve diagnostic accuracy and patient outcomes.