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Disseminated Cysticercosis Masquerading as Mucocutaneous Nodules
Ratnika1, Mohammad Adil1, Syed Suhail Amin1
1Department of Dermatology, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
Indian Dermatology Online Journal
|October 28, 2022
Summary
Disseminated cysticercosis, caused by the pork tapeworm larva Cysticercus cellulosae, can occur without symptoms. This case highlights the need for thorough investigation even in asymptomatic patients, especially in endemic regions.
Area of Science:
- Parasitology
- Infectious Diseases
- Neurology
Background:
- Cysticercus cellulosae, the larval form of Taenia solium, causes cysticercosis.
- Transmission occurs via contaminated food and water containing tapeworm eggs.
- Cysticerci can disseminate via the bloodstream to various organs.
Observation:
- A 55-year-old male presented with asymptomatic disseminated cysticercosis.
- Multiple subcutaneous nodules and a tongue nodule were noted.
- No systemic symptoms were reported.
Findings:
- Histopathology confirmed cystic lesions with larvae.
- Ultrasonography revealed a cystic cavity with a scolex.
- Brain and thyroid gland involvement were detected through further investigations.
Implications:
- A high index of suspicion is crucial for diagnosing cysticercosis in endemic areas.
- Thorough investigations are necessary to rule out disseminated disease, even in asymptomatic individuals.
- Early diagnosis and management are vital to prevent potential complications.
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