Asymptomatic isolated intramuscular cysticercosis in diabetic patient: a case report

Putu Aditya Dwipayana; Steven Johanes Adrian; Made Wirama Diyana

doi:10.18203/2349-3933.ijam20221712

Authors

Putu Aditya Dwipayana Department of Internal Medicine, Wangaya General Hospital, Denpasar, Bali, Indonesia
Steven Johanes Adrian Department of Internal Medicine, Wangaya General Hospital, Denpasar, Bali, Indonesia
Made Wirama Diyana Department of Internal Medicine, Wangaya General Hospital, Denpasar, Bali, Indonesia

DOI:

https://doi.org/10.18203/2349-3933.ijam20221712

Keywords:

Intramuscular cysticercosis, Diabetes mellitus, Taenia solium

Abstract

Cysticercosis is an endemic disease in multiple areas of the world, caused by ingestion of embryonated eggs of Taenia solium. We reported a case of a 66-year old diabetic male presenting with decrease of consciousness and “rice grain” calcification in both hemithorax and neck soft tissue region, without findings of cysticercosis in computed tomography (CT) scan. Cysticercosis most commonly affects the central nervous system, causing neurocysticercosis (NCC), while solitary intramuscular cysticercosis without involvement of the central nervous system is rare. Treatment of cysticercosis is indicated for symptomatic patients, including NCC surgery is indicated in patients with neurovascular compromise caused by growth of cyst. Recognizing the signs and symptoms of cysticercosis is crucial for diagnosis and treatment in endemic areas where Taenia solium is prevalent.

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Author Biography

Made Wirama Diyana, Department of Internal Medicine, Wangaya General Hospital, Denpasar, Bali, Indonesia

Departement of internal medicine

References

Kanhere S, Bhagat M, Phadke V, George R. Isolated intramuscular cysticercosis: a case report. Malays J Med Sci. 2015;22(2):65-8.

Sirikulchayanonta V, Jaovisidha S. An intramuscular cysticercosis, a case report with correlation of magnetic resonance imaging and histopathology. J Med Assoc Thai. 2007;90(6):1248-52.

CDC. Cysticercosis - Resources for Health Professionals, 2022. Available at: https://www.cdc.gov/parasites/cysticercosis/health_professionals/index.html. Accessed on 17 April 2022.

WHO. Taeniasis/cysticercosis, 2022. Available at: https://www.who.int/newsroom/factsheets/detail/taeniasis-cysticercosis. Accessed on 17 April 2022.

Nash TE. Human case management and treatment of cysticercosis. Acta Trop. 2003;87(1):61-9.

Michael C, Endy S, Spicano JF, Octavianus D, Retno JWR. Current trends of diagnosis and management of neurocysticercosis. Indonesian Journal of Medicine and Health. 2000;9(3).

García HH, Gonzalez A, Evans C, Gilman R. Cysticercosis Working Group in Peru. Taenia solium cysticercosis. Lancet. 2003;362(9383):547-56.

Butala C, Brook TM, Majekodunmi AO, Welburn SC. Neurocysticercosis: Current Perspectives on Diagnosis and Management. Front Vet Sci. 2021;8:615703.

Bizhani N, Hashemi Hafshejani S, Mohammadi N, Rezaei M, Rokni M. Human Cysticercosis in Asia: A Systematic Review and Meta-Analysis. Iran. J. Public Health. 2020;11(2):200-4.

Wandra T, Sudewi AAR, Swastika IK, Sutisna P, Dharmawan NS, Yulfi H et al. Taeniasis/cysticercosis in Bali, Indonesia.

Zammarchi L, Strohmeyer M, Bartalesi F, Bruno E, Muñoz J, Buonfrate D, et al. Epidemiology and management of cysticercosis and Taenia solium taeniasis in Europe, systematic review 1990-2011. PLoS One. 2013;8(7):e69537.

Gnanamoorthy K, Suthakaran PK. Disseminated cysticercosis in an immunocompetent individual. Ann Afr Med. 2019;18(1):51-3.

Meena D, Gupta M, Jain VK, Arya RK. Isolated intramuscular cysticercosis: Clinicopathological features, diagnosis and management – A review. J Clin Orthop Trauma. 2016;7(2):243-9.

White AC, Coyle CM, Rajshekhar V, Singh G, Hauser WA, Mohanty A, et al. Diagnosis and Treatment of Neurocysticercosis: 2017 Clinical Practice Guidelines by the Infectious Diseases Society of America (IDSA) and the American Society of Tropical Medicine and Hygiene (ASTMH). Clin Infect Dis An Off Publ Infect Dis Soc Am. 2018;66(8):e49.

Holzapfel BM, Schaeffeler C, Banke IJ, Waldt S. A 37-year-old Man with a Painless Growing Mass of the Thorax. Clin Orthop Relat Res. 2010;468(4):1193.

Moudgil V, Rana R, Tripathi PK, Farooq U, Sehgal R, Khan MA. Coprevalence of parasitic infections and diabetes in Sub-Himalayan region of Northern India. Int J Health Sci (Qassim). 2019;13(1):19-24.