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Lingual cysticercosis.
A P Pichare, A V Rujuta, M Sanjeevani
1Department of Microbiology, Topiwala National Medical College and Bai Yamunabai Laxman Nair Hospital, Mumbai, Maharastra, India.
Indian Journal of Medical Microbiology
|April 10, 2014
Summary
Cysticercosis, a parasitic infection, rarely affects the tongue. This case highlights a solitary lingual swelling in a child caused by the pork tapeworm larvae (Cysticercus cellulosae).
Area of Science:
- Parasitology
- Medical Mycology
- Tropical Medicine
Background:
- Cysticercosis is caused by the larval stage of the pork tapeworm, *Taenia solium*.
- While human infection is possible, it is uncommon, and oral cavity involvement is exceptionally rare.
- The parasite typically develops in muscle and central nervous system tissues.
Observation:
- A 5-year-old boy presented with a painless, solitary, nodular swelling on the posterior dorsal tongue.
- The swelling had a pearly white appearance and had been present for three months.
- No other sites of infection were noted in the patient.
Findings:
- Excision biopsy of the lingual swelling was performed.
- Histopathological examination confirmed the presence of *Cysticercus cellulosae* within the tongue muscles.
- This diagnosis established lingual cysticercosis as the cause of the lesion.
Implications:
- This case underscores the possibility of isolated lingual cysticercosis, even without systemic involvement.
- Early diagnosis and surgical excision are crucial for managing localized parasitic infections.
- Awareness among clinicians is important for recognizing rare presentations of cysticercosis in the oral cavity.
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