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Cutaneous sparganosis

M P Griffin¹, K J Tompkins, M T Ryan

¹Department of Laboratory Medicine, Naval Medical Center, Portsmouth, VA 23708, USA.

The American Journal of Dermatopathology

|February 1, 1996

Summary

Sparganosis, a rare infection from Spirometra tapeworm larvae, can manifest in the skin. This case highlights cutaneous sparganosis, emphasizing its underrepresentation in dermatological studies.

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Area of Science:

Parasitology
Dermatopathology
Infectious Diseases

Background:

Sparganosis is a parasitic infection caused by the migrating larvae of Spirometra cestodes.
While subcutaneous masses are typical, cutaneous sparganosis is infrequently documented in dermatological literature.
Approximately 62 cases have been reported in the United States.

Observation:

A case of cutaneous sparganosis in a 52-year-old Filipino American woman is presented.
The patient exhibited skin manifestations of the infection.
Histological examination revealed key parasitic structures within the affected tissue.

Findings:

Histological sections showed granulomatous panniculitis and dermatitis.
A sparganum larva was identified within the inflamed skin.
The sparganum exhibited characteristic features: eosinophilic cuticle, loose stroma, calcareous bodies, and smooth muscle fibers.

Implications:

This case underscores the importance of considering sparganosis in the differential diagnosis of cutaneous inflammatory conditions.
Increased awareness and reporting in dermatology are needed for better recognition and management of sparganosis.
Further research can elucidate the prevalence and clinical spectrum of cutaneous sparganosis.

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