Parasites, Hosts and Diseases

The Korea Society for Parasitology and Tropical Medicine (대한기생충학·열대의학회)
권호 표지
DOI QR코드

DOI QR Code

Recurred Sparganosis 1 Year after Surgical Removal of a Sparganum in a Korean Woman

  • Lee, Young-Il (Department of Anatomy, College of Medicine, Dankook University) ;
  • Seo, Min (Department of Parasitology, College of Medicine, Dankook University) ;
  • Park, Hyun-Woo (Department of Orthopedic Surgery, College of Medicine, Dankook University)
  • Received : 2013.08.27
  • Accepted : 2013.12.16
  • Published : 2014.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Sparganosis, an infection due to the plerocercoid of Spirometra erinacei, are found worldwide but the majority of cases occur in East Asia including Korea. This report is on a recurred case of sparganosis in the subcutaneous tissue of the right lower leg 1 year after a surgical removal of a worm from a similar region. At admission, ultrasonography (USG) of the lesion strongly suggested sparganosis, and a worm was successfully removed which turned out to be a sparganum with scolex. Since sparganum has a variable life span, and may develop into a life-threatening severe case, a patient once diagnosed as sparganosis should be properly followed-up for a certain period of time. Although imaging modalities were useful for the diagnosis of sparganosis as seen in this case, serological test such as ELISA should also be accompanied so as to support the preoperative diagnosis.

Keywords

References

  1. Cho SY, Bae JH, 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
  2. Walker MD, Zunt ZR. Neuroparasitic infections: cestodes, trematodes, and protozoans. Semin Neurol 2005; 25: 262-277. https://doi.org/10.1055/s-2005-917663
  3. Min DY. Cestode infections in Korea. Korean J Parasitol 1990; 28 (suppl): 123-144. https://doi.org/10.3347/kjp.1990.28.Suppl.123
  4. Lee KJ, 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
  5. Norman SH, Kreutner AJ. Sparganosis: clinical and pathologic observations in ten cases. South Med J 1980; 73: 297-300. https://doi.org/10.1097/00007611-198003000-00008
  6. Kubota T, Itoh M. Sparganosis associated with orbital myositis. Jpn J Ophthalmol 2007; 51: 311-312. https://doi.org/10.1007/s10384-007-0438-1
  7. Griffin MP, Tompkins KJ, Ryan MT. Cutaneous sparganosis. Am J Dermatopathol 1996; 18: 70-72. https://doi.org/10.1097/00000372-199602000-00011
  8. Maizels RM, Balic A, Gomez-Escobar N, Nari M, Talor MD, Allen JE. Helminth parasites-masters of regulation. Immunol Rev 2004; 201: 89-116. https://doi.org/10.1111/j.0105-2896.2004.00191.x
  9. Norman SH, Kreutner AJ. Sparganosis: clinical and pathologic observations in ten cases. South Med J 1980; 73: 297-300. https://doi.org/10.1097/00007611-198003000-00008
  10. Park HJ, Park NH, Lee EJ, Park CS, Lee SM, Park SI. Ultrasonographic findings of subcutaneous and muscular sparganosis. J Korean Soc Radiol 2009; 61: 183-187. https://doi.org/10.3348/jksr.2009.61.3.183
  11. Ishii H, Mukae H, Inoue Y, Kadota JI, Kohno S, Uchiyama F, Nawa Y. A rare case of eosinophilic pleuritis due to sparganosis. Intern Med 2001; 40: 783-785. https://doi.org/10.2169/internalmedicine.40.783
  12. Kamiya H, Shimizu H, Kobayashi N, Kudo K. A case of sparganosis with eosinophilic pleural effusion. Nihon Kokyuki Gakkai Zasshi 2004; 42: 1019-1023.
  13. Yeo IS, Yong 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
  14. Lee JH, Kim GH, Kim SM, Lee SY, Lee WY, Bae JW, Shin KS, Hwang KK, Kim DW, Cho MC. A case of sparganosis that presented as a recurrent pericardial effusion. Korean Circ J 2011; 41: 38-42. https://doi.org/10.4070/kcj.2011.41.1.38
  15. Holodniy M, Almenoff J, Loutit J, Steinberg GK. Cerebral sparganosis: case report and review. Rev Infect Dis 1991; 13: 155-159. https://doi.org/10.1093/clinids/12.5.155
  16. Kim MS, Yu IK, Chang KH, Han MH, Kim MS, Lee BH, Lee YH. Cerebral sparganosis: The differential features between live and degenerated worms on CT and MR Images. J Korean Soc Radiol 2010; 63: 1-7. https://doi.org/10.3348/jksr.2010.63.1.1
  17. Chai JY, Yu JR, Lee SH, Kim SI, Cho SY. Ineffectiveness of praziquantel treatment for human sparganosis (a case report). Seoul J Med 1988; 29: 397-399.
  18. Cho JH, LEE KB, Yong TS, Kim BS, Park HB, Ryu KN. Subcutaneous and musculoskeletal sparganosis: imaging characteristics and pathologic correlation. Skeletal Radiol 2000; 29: 402-408. https://doi.org/10.1007/s002560000206
  19. Oh YJ, Kim MJ, Cho JH, Cha CW, Kim DH, Oh MJ, Chin JY, Choi SS, Kwon KW. A case of pulmonary sparganosis in a patient with a history of recurrent sparganum infections. Tuberc Respir Dis 2009; 67: 229-233. https://doi.org/10.4046/trd.2009.67.3.229

Cited by

  1. Recurrent Breast Sparganosis: Clinical and Radiological Findings vol.73, pp.3, 2014, https://doi.org/10.3348/jksr.2015.73.3.164
  2. Three Cases of Sparganosis Mansoni : Identification of the Causative Parasite Species by PCR Methods vol.78, pp.5, 2014, https://doi.org/10.2336/nishinihonhifu.78.522