Based on 16 cases of human sparganosis, a histopathological study was made. There was a striking similarity among histological features of sparganosis involving different tissues. The histological change of the affected tissues was characterized by a necrotizing and granulomatous inflammation with or without worm parasite in the lesions. There was also a remarkable polymorphonuclear leukocytic mobilization, predominantly of eosinophils, plasma cells and lymphocytes in and near the lesions. Tunnel formation lined by palisading histiocytes was another charateristic feature of the host tissue reaction. These findings were quite distinguishable from those of cysticercosis which were more localized and self-limited. Several features that were prominent in section slides of sparganum worm parasite were also noted. Laminated calcospherules found in the cytoplasm of the proliferating macrophages and giant cells were of diagnostic value of sparganosis in the absence of the worm, particularly when these were accompanied with tunnel-like lesion in the host tissue.
A transmission electron microscopic study was conducted in order to know basic tegumental structure of Cysticercus cellulosae which was obtained from the ventricles of human brain. In general, the electron microscopic appearance of the tegument resembled that of the body wall of adult and larval forms of other cestodes. The tegument both of the parenchymatous portion (scolex and spiral canal) and bladder portion consisted of such components, i.e., an outer vesicular layer with microtriches, and an inner fibrous layer. The subtegumental tissue below the fibrous layer was filled with muscle bundles and tegumental cells. The surface of the larva was covered by the microtriches of two distictly different types. The characteristic pyramid-shaped "tetrahedral" form was observed on the surface of the scolex portion, whereas the elongated, slender "filamentous" microtriches were distributed on the regions of the spiral canal and bladder portion. The tegumental and subtegumental tissues varied in thickenss from one region to the next. The possibility of application in making differential diagnosis from other larval cestodes and possible fuction of this larval tegument were discussed.
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