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Intramuscular Sparganosis in the Gastrocnemius Muscle: A Case Report

  • Kim, Jeung Il (Department of Orthopedic Surgery, Medical Research Institute, Pusan National University Hospital) ;
  • Kim, Tae Wan (Department of Orthopedic Surgery, Medical Research Institute, Pusan National University Hospital) ;
  • Hong, Sung Min (Department of Orthopedic Surgery, Medical Research Institute, Pusan National University Hospital) ;
  • Moon, Tae Yong (Department of Radiology, Medical Research Institute, Pusan National University Hospital) ;
  • Lee, In Sook (Department of Radiology, Medical Research Institute, Pusan National University Hospital) ;
  • Choi, Kyung Un (Department of Pathology, School of Medicine, Pusan National University) ;
  • Yu, Hak Sun (Department of Parasitology, School of Medicine, Pusan National University)
  • Received : 2013.08.09
  • Accepted : 2013.11.04
  • Published : 2014.02.28

Abstract

Sparganosis is a parasitic infection caused by the plerocercoid tapeworm larva of the genus Spirometra. Although the destination of the larva is often a tissue or muscle in the chest, abdominal wall, extremities, eyes, brain, urinary tract, spinal canal, and scrotum, intramuscular sparganosis is uncommon and therefore is difficult to distinguish from a soft tissue tumor. We report a case of intramuscular sparganosis involving the gastrocnemius muscle in an elderly patient who was diagnosed using ultrasonography and MRI and treated by surgical excision. At approximately 1 cm near the schwannoma at the right distal sciatic nerve, several spargana worms were detected and removed.

Keywords

References

  1. John DT, Petri WA. Markell and Voge's Medical Parasitology. 9th ed. St Louis, Missouri, USA. Saunders, Elsevier. 2006.
  2. Chang KH, Cho SY, Chi JG, Kim WS, Han MC, Kim CW, Myung H, Choi KS. Cerebral sparganosis: CT characteristics. Radiology 1987; 165: 505-510. https://doi.org/10.1148/radiology.165.2.3659374
  3. Sarma DP, Weilbacher TG. Human sparganosis. Am J Acad Dermatol 1986; 15; 1145-1148. https://doi.org/10.1016/S0190-9622(86)70284-3
  4. Kwon SY, Rhee SK, Lee HS, Kim KW, Chae Y. Sparganosis in subcutaneous tissue of thigh: case report. J Korean Orthop Surg 1998; 33: 207-210.
  5. Cho SY, Bae JH and Seo BS. Some aspects of human sparganosis in Korea. Korean J Parasitol 1975; 13: 60-77. https://doi.org/10.3347/kjp.1975.13.1.60
  6. Kim JR, Lee JM. A case of intramuscular sparganosis in the Sartorius muscle. J Korean Med Sci 2001; 16: 378-380 https://doi.org/10.3346/jkms.2001.16.3.378
  7. Kim BH, Nam U, Choi MH. Living sparganosis in the forearm flexor muscle. J Korean Orthop Surg 2001; 36: 489-491.
  8. Lee JK, Myung NH, Park HW. A case of sparganosis in the leg. Korean J Parasitol 2010; 48: 309-312. https://doi.org/10.3347/kjp.2010.48.4.309
  9. Ha KY, Oh IS. Case report: Lower extremity sparganosis in a bursa. Clin Orthop Relat Res 2011; 469: 2072-2074. https://doi.org/10.1007/s11999-011-1901-3
  10. Hong D, Xie H, Zhu M, Wan H, Xu R, Wu Y. Cerebral sparganosis in mainland Chinese patients. J Chin Neurosci 2013 (in press).
  11. Fan KJ, Pezeshkpour GH. Cerebral sparganosis. Neurology 1986; 36: 1249-1251. https://doi.org/10.1212/WNL.36.9.1249
  12. Yeo IS, Young TS, Im K. Serodiagnosis of human sparganosis by a monoclonal antibody-based competition ELISA. Yonsei Med J 1994; 35: 43-48. https://doi.org/10.3349/ymj.1994.35.1.43

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