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Disseminated cysticercosis incidentally diagnosed in a patient of fracture shaft of femur.

Abstract Cysticercosis is caused by the larval form of Taenia solium tape worm, cysticercus cellulose. The life cycle of T. solium consists of 2 host, the definite host is a man who harbours the adult forms of the worm in the intestine, while the intermediate host is the pig, where the larval form (cysticercus cellulose) is found in the skeletal muscle. Cysticercosis develops when human beings incidentally become the intermediate host and the eggs mature within their small intestine. The route of entry of the eggs into the human intestine may occur through autoinfection or by ingestion of contaminated food or water. Further, these eggs develop into the larval form which spread throughout the intestinal wall and are disseminated by the blood stream to brain, muscles, subcutaneous tissues or any other organ. Until now, only 50 cases of disseminated forms have been reported in the literature, with the majority of the cases being from Indian subcontinent. Regarding the clinical presentations, symptoms usually depend on the location, size and number of cysts in the involved lesion. However, it may present occasionally with dementia, muscular hypertrophy or subcutaneous nodules with relative absence of focal neurological signs or raised intracranial pressure. We, here, report a case of disseminated cysticercosis, detected incidentally in a man aged 52 years who presented with an open fracture of the right femur.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title bmj case reports
Publication Year Start




PMID- 28246113
OWN - NLM
STAT- MEDLINE
DA  - 20170301
DCOM- 20170310
LR  - 20170310
IS  - 1757-790X (Electronic)
IS  - 1757-790X (Linking)
VI  - 2017
DP  - 2017 Feb 28
TI  - Disseminated cysticercosis incidentally diagnosed in a patient of fracture shaft 
      of femur.
LID - bcr2016217451 [pii]
LID - 10.1136/bcr-2016-217451 [doi]
AB  - Cysticercosis is caused by the larval form of Taenia solium tape worm,
      cysticercus cellulose. The life cycle of T. solium consists of 2 host, the
      definite host is a man who harbours the adult forms of the worm in the intestine,
      while the intermediate host is the pig, where the larval form (cysticercus
      cellulose) is found in the skeletal muscle. Cysticercosis develops when human
      beings incidentally become the intermediate host and the eggs mature within their
      small intestine. The route of entry of the eggs into the human intestine may
      occur through autoinfection or by ingestion of contaminated food or water.
      Further, these eggs develop into the larval form which spread throughout the
      intestinal wall and are disseminated by the blood stream to brain, muscles,
      subcutaneous tissues or any other organ. Until now, only 50 cases of disseminated
      forms have been reported in the literature, with the majority of the cases being 
      from Indian subcontinent. Regarding the clinical presentations, symptoms usually 
      depend on the location, size and number of cysts in the involved lesion. However,
      it may present occasionally with dementia, muscular hypertrophy or subcutaneous
      nodules with relative absence of focal neurological signs or raised intracranial 
      pressure. We, here, report a case of disseminated cysticercosis, detected
      incidentally in a man aged 52 years who presented with an open fracture of the
      right femur.
CI  - 2017 BMJ Publishing Group Ltd.
FAU - Saeed, Noora
AU  - Saeed N
AD  - Department of Pathology, Jawaharlal Nehru Medical College and Hospital, Aligarh, 
      Uttar Pradesh, India.
FAU - Ehsan, Aaliya
AU  - Ehsan A
AD  - Department of Pathology, Jawaharlal Nehru Medical College and Hospital, Aligarh, 
      Uttar Pradesh, India.
FAU - Vasenwala, Shaista M
AU  - Vasenwala SM
AD  - Department of Pathology, Jawaharlal Nehru Medical College and Hospital, Aligarh, 
      Uttar Pradesh, India.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20170228
PL  - England
TA  - BMJ Case Rep
JT  - BMJ case reports
JID - 101526291
SB  - IM
MH  - Cysticercosis/*diagnostic imaging/pathology
MH  - Femoral Fractures/*diagnostic imaging/surgery
MH  - Fractures, Open/*diagnostic imaging/surgery
MH  - Humans
MH  - Incidental Findings
MH  - Male
MH  - Middle Aged
EDAT- 2017/03/02 06:00
MHDA- 2017/03/11 06:00
CRDT- 2017/03/02 06:00
AID - bcr-2016-217451 [pii]
AID - 10.1136/bcr-2016-217451 [doi]
PST - epublish
SO  - BMJ Case Rep. 2017 Feb 28;2017. pii: bcr2016217451. doi: 10.1136/bcr-2016-217451.

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