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Scapular swelling: "subcutaneous cysticercosis unveiled"-a case report
Barundeep Singh1, Chrisinder Kaur2, R Ananthakrishnan3
1Department of General Medicine, INHS Asvini, Mumbai, India. barundeepsingh@gmail.com.
Journal of Medical Case Reports
|December 24, 2024
Summary
Subcutaneous cysticercosis, a rare presentation of Taenia solium infection, can manifest as a solitary, painful nodule. Early diagnosis and albendazole treatment are key for successful outcomes in this uncommon parasitic disease.
Area of Science:
- Parasitology
- Infectious Diseases
- Dermatology
Background:
- Cysticercosis, caused by Taenia solium larvae, typically affects the brain and eyes.
- Subcutaneous cysticercosis is an uncommon manifestation, with few reported cases of solitary, painful swellings.
Observation:
- A case of subcutaneous cysticercosis in an Indian woman presented as a painful, itchy, enlarging nodule over the left scapula.
- Physical examination revealed a well-defined, tender nodule with overlying skin changes.
- Ultrasonography showed a cystic lesion with calcified scolex, suggestive of cysticercosis.
Findings:
- The diagnosis of subcutaneous cysticercosis was confirmed by ultrasonographic findings and complete resolution after albendazole treatment.
- The patient experienced pain and itching, which resolved with treatment.
- No neurological or ocular involvement was noted.
Implications:
- This case highlights the importance of considering parasitic infections in the differential diagnosis of subcutaneous nodules.
- High index of suspicion is crucial for diagnosing unusual presentations of cysticercosis.
- Prompt diagnosis and management of subcutaneous cysticercosis prevent complications.
