A Human Case of Lumbosacral Canal Sparganosis in China
10.3347/kjp.2021.59.6.635
- Author:
Jian-Feng FAN
1
;
Sheng HUANG
;
Jing LI
;
Ren-Jun PENG
;
He HUANG
;
Xi-Ping DING
;
Li-Ping JIANG
;
Jian XI
Author Information
1. Department of Neurosurgery, Xiangya Hospital Central South University, Changsha, Hunan, People’s Republic of China
- Publication Type:Case Report
- From:The Korean Journal of Parasitology
2021;59(6):635-638
- CountryRepublic of Korea
- Language:English
-
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.