Parasites, Hosts and Diseases

The Korea Society for Parasitology and Tropical Medicine (대한기생충학·열대의학회)
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A Human Case of Lumbosacral Canal Sparganosis in China

  • Fan, Jian-Feng (Department of Neurosurgery, Xiangya Hospital Central South University) ;
  • Huang, Sheng (Department of Neurosurgery, Xiangya Hospital Central South University) ;
  • Li, Jing (Department of Parasitology, Xiangya School of Medicine, Central South University) ;
  • Peng, Ren-Jun (Department of Neurosurgery, Xiangya Hospital Central South University) ;
  • Huang, He (Department of Neurosurgery, Xiangya Hospital Central South University) ;
  • Ding, Xi-Ping (Department of Neurosurgery, Xiangya Hospital Central South University) ;
  • Jiang, Li-Ping (Department of Parasitology, Xiangya School of Medicine, Central South University) ;
  • Xi, Jian (Department of Neurosurgery, Xiangya Hospital Central South University)
  • Received : 2021.08.05
  • Accepted : 2021.11.19
  • Published : 2021.12.31
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Abstract

In this study, we intended to describe a human case of lumbosacral canal sparganosis in People's Republic of China (China). A 56-year-old man was admitted to Xiangya Hospital Central South University in Changsha, Hunan province, China after having an experience of perianal pain for a week. An enhancing mass, a tumor clinically suggested, was showed at the S1-S2 level of the lumbosacral spine by the examination of magnetic resonance imaging (MRI) with gadolinium contrast. The patient was received the laminectomy from S1 to S2, and an ivory-white living worm was detected in inferior margin of L5. In ELISA-test with cerebrospinal fluid (CSF) and serum samples, anti-sparganum antibodies were detected. He had a ingesting history of undercooked frog meat in his youth. By the present study, a human case of spinal sparganosis invaded in lumbosacral canal at the S1-S2 level was diagnosed in China. Although the surgical removal of larvae is known to be the best way of treatment for sparganosis, we administered the high-dosage of praziquantel, albendazole and dexamethasone to prevent the occurrence of another remain worms in this study.

Keywords

Acknowledgement

We would like to acknowledge all staff of the department of neurosurgery at Xiangya Hospital Central South University. This work was supported by the Science and Technology Program of Hunan Province (project number 2021ZK4154) and Graduate Case base construction project of Central South University (project number 2020ALK91).

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