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Cysticercosis Masquerading as Lipo-Dermoid.

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Nepalese Journal of Ophthalmology : a Biannual Peer-Reviewed Academic Journal of the Nepal Ophthalmic Society : NEPJOPH
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Cysticercosis, a parasitic infection caused by Taenia solium larvae, can affect various tissues. This case highlights an unusual presentation of cysticercus cellulosae within the lateral rectus muscle, mimicking a lipo-dermoid.

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Area of Science:

  • Parasitology
  • Ophthalmology
  • Neurology

Background:

  • Cysticercosis is caused by the larval stage of Taenia solium (pork tapeworm), with human infection rates varying in India.
  • The parasite typically encysts in the brain, eyes, or subcutaneous tissues, with intravitreal cysts being the most common ocular manifestation.

Observation:

  • The parasite encysts in various tissues, commonly the brain, eyes, and subcutaneous tissue.
  • Intravitreal cysts are the most frequent ocular manifestation.
  • A nine-year-old boy presented with right upper eyelid swelling.

Findings:

  • A cysticercus cellulosae cyst was identified within the right lateral rectus muscle.
  • This represents an unusual site for the parasite.
  • The cyst initially mimicked a lipo-dermoid.

Implications:

  • This case underscores the importance of considering parasitic infections in differential diagnoses.
  • Unusual presentations of cysticercosis can be challenging to diagnose.
  • Early and accurate diagnosis is crucial to prevent severe inflammatory reactions and potential devastation.