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At least 73 records · Page 4Linked to original sources

Eosinophilic cystitis caused by vesical sparganosis: a case report.

We report a case of eosinophilic cystitis caused by vesical sparganosis. The patient had a history of eating raw frogs and presented with a mass in the bladder associated with peripheral eosinophilia and increased serum antibody titer against sparganum. Pathologically, a characteristic sinuous necrosis representing worm tracks was noted with massive diffuse infiltration of eosinophils in the wall of the bladder. The serum titer of sparganum-specific antibody returned to normal after surgical resection of the lesion. This finding emphasizes the importance of suspecting parasitic origin in cases of eosinophilic cystitis with a history of raw meat ingestion in endemic areas.

Cystitis↗

Sparganosis of brain and spinal cord: unusual tapeworm infestation (report of two cases).

Among the diseases due to cerebral parasitism, those caused by sparganum mansoni, the larval form of Spirometra mansoni, are very rare. We report two cases, one involving the frontoparietal area in a 38-year-old male and presenting as a mass lesion and another in a 10-year-old girl, presenting with paraparesis due to mid-thoracic compressive mass lesion. Pathological examination of the resected lesion revealed the characteristic plerocercoid larva, spargana, enclosed in acute inflammatory exudate, resembling an abscess. Postoperative recovery was good, suggesting that the best treatment for cerebral or spinal sparganosis mansoni is surgical excision. Serological tests for diagnosis were not carried out in these cases, since parasitic infection was not suspected. Although generally the role of immunodiagnosis is limited due to rarity of the condition, in endemic areas such tests may be useful in preoperative diagnosis.

Adult↗

Human proliferative sparganosis. A new Japanese case.

Human proliferative sparganosis is a rare parasitic disease in which the larval cestodes of unknown species proliferate in the various organs in the whole body. The authors describe a patient with innumerable parasites in the buttock and pelvic bone. The parasites were of globular or egg-like forms, up to 3 mm in diameter. Histologically, the wavy tegument, a few layers of epidermal cells, underdeveloped muscle cells, excretory channels, and calcareous corpuscles were found in the parasites. These morphologic findings confirmed the nature of maldifferentiated plerocercoid. The serologic data suggested a close relation between Sparganum proliferum and Spirometra erinacei.

Animals↗

A case of cerebral sparganosis in South America.

Cerebral sparganosis (CS) is a parasitic infection caused by the larva of Spirometra mansonoides. Rarely it can affect the human brain. We report the case of a 24-year old man from Paraguay who suffered from seizures and headache for one year. A frontal tumor was diagnosed by CT-scan and was subsequently resected. The pathological examination revealed a larva with Sparganum characteristics. The evolution of the patient was satisfactory. As far as we know, this is the first case of CS reported in South-America.

Adult↗

[Human sparganosis in Ecuador: report of a case in the province of Esmeraldas].

The second case of human sparganosis in Ecuador is reported in a male patient, of an indigenous tribe Chachi, from the province of Esmeraldas, who presented with a nodule localized in the left scapular region. Upon extirpation, a cestode classified as Spirometra was found, but the species could not be determined.

Adult↗

Cerebral sparganosis mansoni--case report.

An 80-year-old male with paresis of the right upper extremity underwent surgery for a suspected metastatic brain tumor. A live Sparganum mansoni worm was removed from the parietal lobe through a left parietal craniotomy. Retrospective evaluation of magnetic resonance (MR) images revealed ipsilateral ventricular dilatation, despite the presence of a mass lesion resembling a metastatic brain tumor. This interesting MR imaging finding is an important point for differentiating between a brain tumor and cerebral sparganosis.

Aged↗

Surgical removal of a live worm by stereotactic targeting in cerebral sparganosis. Case report.

A 64-year-old man presented with generalized tonic clonic convulsion followed by weakness of the right lower extremity. He had a medical history of hypertension, hyperlipidemia, and right cerebellar infarction. Computed tomography (CT) showed a small high density nodule with an enhanced perifocal low density area in the left occipital lobe. T1-weighted magnetic resonance (MR) imaging showed a ring-shaped and partial string-like nodule with enhancement by gadolinium. T2-weighted MR imaging showed the white matter of the left occipital lobe as high intensity. CT and MR imaging seemed to indicate metastatic brain tumors, although cortical atrophy and ventricular dilation were recognized. Left parietal craniotomy was performed under stereotactic targeting to obtain a definitive diagnosis. During manipulation at the center of the targeted lesion, a white, tape-like body was found and recognized to be a live worm. Serological testing revealed strong immunopositivity against Spirometra mansoni. The infection route in the present case was probably through eating raw chicken meat. Cerebral sparganosis is extremely rare but should be considered in the differential diagnosis of metastatic brain tumors, especially in endemic areas.

Central Nervous System Helminthiasis↗

Cerebral sparganosis caused by Spirometra mansonoides. Case report.

Cerebral sparganosis is an uncommon parasitic zoonosis caused by the migrating larva of the genus Spirometra mansonoides. The clinical and computerized tomography presentation, as well as the operative and histopathological findings, of the first known case in Mexico are detailed. The dead larva elicited intense acute inflammation resulting in focal encephalitis. Surgical removal of the larva yielded excellent results.

Adult↗

Intramural sparganosis manifested as intestinal obstruction--a case report.

A case of intramural sparganosis of jejunum presenting as intestinal obstruction is described. Resected intestine from a 48 year old man with acute abdomen revealed a degenerated sparganum in the submucosa with typical tissue reaction and extensive edema. The tissue reaction was basically granulomatous, consisting of layers of inner palisading histiocytes and outer mononuclear cell infiltration. Many calcospherules were prominent within the degenerated worm. Eosinophil infiltration was scanty.

Granuloma↗

The changes of histopathology and serum anti-sparganum IgG in experimental sparganosis of mice.

The present study is intended to observe the chronologic changes of experimental sparganosis by histopathological observation and detection of circulating anti-sparganum IgG antibody using ELISA. Each of 25 mice was infected with five spargana, and they were examined after 1, 2, 4, 10 weeks or 6 months from infection. The followings are summarized results. 1. The plerocercoids were detected in the subcutaneous tissue of the trunk, neck or axilla, but a few often extended into the skeletal muscle. The recovery rates were 72% at the first week, 80% at the second week, 95% at the fourth week, 92% at the tenth week and 100% at the sixth month. The larvae grew slowly in both length and weight until 6 months. 2. Histopathologically, most of the larvae were observed alive in the soft tissue or skeletal muscle. Numerous eosinophils, neutrophils, lymphocytes and plasma cells were infiltrated focally around the worms by the second week, but they surrounded the worms to form a layer of inflammatory reaction after 4 weeks of infection. Also histiocytes and fibroblasts began to appear around the inflammatory cells at 4 weeks. After 10 weeks, the worms encircled by a thin fibrous layer were found. After 6 months, the worms were surrounded by either fibrous tissue or active inflammatory cells. The inflammation looked more severe in the tracks left by the worms, rather than around the worms. 3. The level of anti-sparganum IgG antibody in the serum showed an increase by the fourth week, and a rapid and continuous increase was observed thereafter by the tenth week after infection.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Human proliferative sparganosis in Venezuela: report of a case.

A case of human proliferative sparganosis, the first in the southern hemisphere, is reported. The patient had multiple nodular, papular, acne-like lesions, gynecomastia, and large subcutaneous abscesses. Laboratory findings showed that he also had severe anemia of the type associated with infection and chronic diseases, leukocytosis, eosinophilia, and severe hypoalbuminemia and hypergammaglobulinemia. His cellular and humoral immune responses were unaltered. New aspects on the functional repercussion of the parasitism of the human host by Sparganum proliferum are discussed. Treatment with mebendazole was ineffective; the patient's tolerance for the newer drug praziquantel was extremely poor.

Adult↗

Sparganosis in the monotremes Tachyglossus aculeatus and Ornithorhynchus anatinus in Australia.

Sparganosis in the echidna, Tachyglossus aculeatus, is characterized by large subcutaneous masses that may be confused with neoplasms. Plerocercoids, believed to be Spirometra erinacei, were found in the ventral or lateral subcutaneous tissues of three echidnas. In each case there was a prominent fibrous mass < or = 12 cm in diameter enclosing plerocercoids, which were surrounded by an intense inflammatory infiltrate dominated by plasma cells and lymphocytes, with focal suppuration. Multiple, small (< or = 2 mm) plerocercoids were present in the lungs and pleural cavity of a fourth echidna that died due to severe pneumonitis. Several plerocercoids also were found in the lung of a platypus (Ornithorhynchus anatinus) associated with parenchymal compression and focal pneumonia.

Animals↗

[Human sparganosis. Report of a probable 7th case in South America and review of the subject].

A case of human Sparganosis was found in a resident of Northern Argentina, Pozo del Tigre, Province of Formosa, a zone bordering with the Republic of Paraguay, with a histopathologic diagnosis realized in the Pathologic Anatomy Institute of Asunción. In the Republic of Paraguay Dyphyllobrotium has been observed in cats, which reveals the existence of intermediaries (rats, water snakes, birds, etc.) as sources of human infection. Northern Argentina, where the patient always lived, is a geographic zone similar to the Republic of Paraguay. This case is the first described in the inland zone of the continent (and probably the seventh case in the Southamerican continent). The patient's profession, called "tropero" (cowherd), required that he had close contact with the land or a habitual exposure to nature, which does not exclude the probability of infection related to the patient's professional habitat.

Adult↗

[Animal and human cestoda infection (sparganosis)].

Spirometrosis (sparganosis) in animals and man is a serious ecological problem in Russia, which requires the constant attention of veterinary and medical services. The paper presents data on the biology of the parasite Spirometra erinacei europaei Muller, 1937, an account and diagram of a developmental cycle, and original photos of parasitic eggs, plerocercoids, strobiles, and cestode joint from animals.

Animals↗

[A case of sparganosis with eosinophilic pleural effusion].

A 61 year-old man was admitted to our hospital complaining of exertional dyspnea and presented with left pleural effusion. Laboratory findings showed peripheral eosinophilia and a slightly elevated inflammatory reaction. Chest X-ray film and CT revealed left pleural effusion, but there were no particular abnormal findings on the lung fields. Pleural effusion was exudative, yellowish and contained numerous eosinophils. His detailed medical history showed that he had eaten uncooked snakes, which led us to suspect parasite diseases. Multiple-dot ELISA method was performed to detect specific anti-parasite antibody. The patient was diagnosed with sparganosis after the detection of a highly positive reaction against Spirometra erinacei-europaei in both serum and pleural effusion. Parasite disease is an important consideration on differential diagnosis of eosinophilic pleural effusion, and multiple-dot ELISA method might be helpful for screening it.

Diagnosis, Differential↗

Imported sparganosis in Canada.

The first case of human sparganosis in Canada is reported in a 23-year-old woman who emigrated from Greece in 1969. Examination of a ribbon-like worm removed from a painful swelling in the neighbourhood of her right biceps muscle revealed a single larva, about 110 mm. long and 2.5 mm. wide, subsequently identified as the plerocercoid larva or sparganum of a member of the genus Spirometra. The source of this infection, acquired in Greece, may have been undercooked pork.

Adult↗