1.A Case of Sparganosis in the Leg.
Kyung Joon LEE ; Na Hye MYUNG ; Hyun Woo PARK
The Korean Journal of Parasitology 2010;48(4):309-312
The life-span of the sparganum in humans is not exactly known, but it may survive longer than 5 years in some patients. We experienced a case infected with a sparganum that is presumed to have lived for 20 years in a patient's leg. The patient was a 60-year-old woman, and she was admitted to a hospital due to ankle pain that was aggravated on dorsiflexion. She had noticed a mass on her knee some 20 years ago, but she received no medical management for it. The mass moved into the ankle joint 3 months before the current admission, and then the aforementioned symptoms appeared. A living sparganum was recovered by surgery, and the calcified tract near the knee was proved to be the pathway along which the larva had passed.
Animals
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Female
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Histocytochemistry
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Humans
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Leg/parasitology/pathology/radiography/surgery
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Microscopy
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Middle Aged
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Sparganosis/*diagnosis/parasitology/surgery
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Sparganum/*isolation & purification
2.A case of sparganosis mimicking a varicose vein.
Ja Hyun KOO ; Won Hyun CHO ; Hyoung Tae KIM ; Sung Moon LEE ; Byung Suk CHUNG ; Chong Yoon JOO
The Korean Journal of Parasitology 2006;44(1):91-94
Recent advances in radiological and serological techniques have enabled easier preoperative diagnosis of sparganosis. However, due to scarcity of cases, sparganosis has been often regarded as a disease of other etiologic origin unless the parasite is confirmed in the lesion. We experienced a case of sparganosis mimicking a varicose vein in terms of clinical manifestations and radiological findings. Sparganosis should be included among the list of differential diagnosis with the varicose vein.
Varicose Veins/*diagnosis/ultrasonography
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Thigh/*parasitology/pathology/surgery
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Sparganum/*isolation & purification
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Sparganosis/*diagnosis/pathology/surgery
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Magnetic Resonance Imaging/methods
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Knee/pathology/radiography
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Humans
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Female
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Diagnosis, Differential
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Animals
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Adult
3.A Case of Inguinal Sparganosis Mimicking Myeloid Sarcoma.
Jin Yeob YEO ; Jee Young HAN ; Jung Hwan LEE ; Young Hoon PARK ; Joo Han LIM ; Moon Hee LEE ; Chul Soo KIM ; Hyeon Gyu YI
The Korean Journal of Parasitology 2012;50(4):353-355
We report here a case of inguinal sparganosis, initially regarded as myeloid sarcoma, diagnosed in a patient undergone allogeneic hematopoietic transplantation (HSCT). A 56-year-old male patient having myelodysplastic syndrome was treated with allogeneic HSCT after myeloablative conditioning regimen. At day 5 post-HSCT, the patient complained of a painless palpable mass on the left scrotum and inguinal area. Pelvic magnetic resonance imaging and computed tomography revealed suspected myeloid sarcoma. Gun-biopsy was performed, and the result revealed eosinophilic infiltrations without malignancy. Subsequent serologic IgG antibody test was positive for sparganum. Excisional biopsy as a therapeutic diagnosis was done, and the diagnosis of sparganosis was confirmed eventually. This is the first report of sparganosis after allogeneic HSCT mimicking myeloid sarcoma, giving a lesson that the physicians have to consider the possibility of sparganosis in this clinical situation and perform adequate diagnostic and therapeutic approaches.
Animals
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Diagnosis, Differential
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Hematopoietic Stem Cell Transplantation
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Humans
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Larva
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Magnetic Resonance Imaging
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Male
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Middle Aged
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Myelodysplastic Syndromes/complications/surgery
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Republic of Korea
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Sarcoma, Myeloid/diagnosis
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Scrotum/parasitology/*pathology
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Sparganosis/parasitology/*pathology/radiography
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Sparganum/*immunology/isolation & purification
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Tomography, X-Ray Computed
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Transplantation, Homologous