Cysticercosis of the Triceps???An Unusual Pseudotumor

Ogilvie, Christian M.; Kasten, Philip; Rovinsky, David; Workman, Kimberly L.; Johnston, James O.

doi:10.1097/00003086-200101000-00029

Cited by 38 publications

(48 citation statements)

References 17 publications

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“…Most muscular disease has central nervous system involvement, multiple muscular cysts, or both. 1 The diagnosis is relatively difficult to make solely on a clinical basis because the manifestations are not specific, and visualization of the organism usually is not feasible. Plain radiographs rarely show cysticerci except in chronic cases when they calcify.…”

Section: Discussionmentioning

confidence: 99%

Primary Sonographic Diagnosis of Disseminated Muscular Cysticercosis

Asrani

Morani

2004

Journal of Ultrasound in Medicine

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case of disseminated cysticercosis involving the muscular system and subcutaneous tissues is reported here. To our knowledge, the imaging findings of disseminated muscular cysticercosis have not been reported before. In this case, the correct diagnosis was made on the basis of high-resolution sonography of the subcutaneous tissue and muscles. It showed multiple oval to circular, predominantly anechoic lesions, which were around 1 cm in diameter. Most of these cystic lesions showed a hyperechoic focus within suggestive of a scolex. There was no increased vascularity surrounding the lesions on color Doppler examination. Thus, sonography can primarily make the correct diagnosis of disseminated muscular cysticercosis if such lesions are seen.Received March 22, 2004, Case ReportA 5-year-old girl had subcutaneous swellings all over her body. The swellings were each between 0.5 and 2 cm in size. There were only 1 or 2 to start with on the back of the neck, and then they gradually increased to involve the chest, head, neck, arms, and legs in 2 to 3 months (Figure 1). These swellings were accompanied by onset of abnormal behavior in the form of irritability, talkativeness, disobeying commands, and bladder incontinence (secondary enuresis). Also, there was abnormal weight gain of 10 kg. The patient also had decreased vision for 1 month. Dietary habits of the patient included pork and other meat. Examination revealed multiple subcutaneous nodules between 0.5 and 2 cm in size over the forehead, abdomen, back, and legs. She weighed 29 kg (19 kg 1 month previously). Her vision was 6/30 according to the Snellen chart.

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Section: Discussionmentioning

confidence: 99%

Primary Sonographic Diagnosis of Disseminated Muscular Cysticercosis

Asrani

Morani

2004

Journal of Ultrasound in Medicine

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“…Similar isolated cyst has been reported in literature in biceps, triceps and masseter muscle, but they were diagnosed after surgical excision. 9,10 Use of steroids along with the antihelminthic treatment has been recommended for disseminated cysticercosis and neurocysticercosis where there is extensive release of parasitic antigen from dying parasite. But in isolated lesion, only Albendazole therapy is enough.…”

Section: Discussionmentioning

confidence: 99%

Cysticercosis of Soleus muscle presenting as isolated calf pain

Mishra

Pandey

Tripathi

2015

Journal of Clinical Orthopaedics and Trauma

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Magnetic resonance imaging a b s t r a c tCNS is the most common site of involvement by cysticercosis. Symptomatic involvement of isolated skeletal muscle by solitary cysticercosis cyst is extremely rare. We report a rare and unusual case of cysticercosis presenting as acute calf pain, which is a diagnostic challenge. But the diagnosis was reached by sero-radiological examination and patient was managed conservatively by medical means.

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“…Although encysted larvae do not always result in clinical symptoms, systemic therapy usually is advocated in the presence of multilocular cysts or if the number of cysts makes surgical therapy unfeasible or neurocysticercosis is verifiable. In these cases, systemic therapy, for example, with antiparasitic drugs, such as praziquantel and albendazole, should be used [4,6,14]. Praziquantel (50 mg/kg per day for approximately 3 weeks) is reportedly effective and is considered the preferred drug for treatment of cysticercosis, although some studies indicate albendazole (10-15 mg/kg per day for approximately 2 weeks) shows better response rates [6,21].…”

Section: Discussion and Treatmentmentioning

confidence: 99%