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

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.

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  • 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.