Case Reports in Clinical Medicine
Volume 2, Issue 9 (December 2013)
ISSN Print: 2325-7075 ISSN Online: 2325-7083
Google-based Impact Factor: 0.2 Citations
Subcutaneous larva migrans of a sparganum in a gnathostomiasis-endemic area ()
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ABSTRACT
We report a case of subcutaneous larva migrans caused by a tape worm (sparganum), a rare and under-recognized food-borne parasitic zoonosis, in Nan Province, Northern Thailand. An obese 56-year-old female presented a 3-month history of an intermittent migrating subcutaneous nodule in the abdomen associated with pain and itching. Physical examination showed a tubal resection scar on the lower abdomen with a swelling and movable irregular, and firm nodule with ill-defined border at the right lower quadrant of abdomen. Blood examination showed slight increased of eosinophil levels (6%). Excisional biopsy showed a viable non-segmented tape worm in the subcutaneous tissue identified by morphological examination and Western blot technique as a sparganum. Surgical removal is recommended for a worm in the subcutaneous connective tissues and superficial muscles.
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