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Cysticercosis Cellulosae Cutis: A Forgotten Entity.

Kanagala Chowdary Neethu1, Akshay Jain1, S Haritha1

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Summary

Cutaneous cysticercosis, caused by the Taenia solium larval stage, presents uncommon diagnostic challenges. This case highlights the importance of considering rare conditions beyond initial misdiagnoses like abscesses.

Keywords:
Cutaneous cysticercosiscutaneous manifestation of Taenia soliumcysticercosis cellulosa cutismultiple subcutaneous nodules in 70 year old

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Area of Science:

  • Parasitology
  • Dermatology
  • Medical Diagnostics

Background:

  • Cysticercosis cellulosa cutis results from the larval stage of the pork tapeworm, Taenia solium.
  • It typically manifests in the central nervous system, muscles, and subcutaneous tissues.
  • Accurate diagnosis is crucial for effective treatment and preventing complications.

Observation:

  • A 70-year-old female presented with a skin condition initially misdiagnosed as an abscess via ultrasound.
  • The patient received treatment for the presumed abscess without improvement.
  • Fine-needle aspiration cytology (FNAC) was essential in correctly diagnosing cutaneous cysticercosis.

Findings:

  • The case presented an unusual clinical manifestation of cysticercosis.
  • Diagnostic difficulty was encountered due to the atypical presentation and initial misdiagnosis.
  • FNAC proved to be a key diagnostic tool for identifying the parasitic infection.

Implications:

  • This case underscores the need for a broad differential diagnosis in dermatology, especially with treatment-resistant lesions.
  • It emphasizes the value of FNAC in diagnosing parasitic skin infections.
  • Increased awareness of uncommon presentations of cysticercosis can improve patient outcomes.